Annual Certification and Data Collection Report Form - ACR

Annual Certification and Data Collection Report Form

Documents and Forms

Document Name Document Type
Form Revision_2022 Annual Certification and Data Collection Report Form - ACR Form and Instruction
Revision_2022 CDFI Transaction Level Report Form OMB# 1559-0046 CDFI Transaction Level Report Form .docx Form and Instruction
CDFI Fund Glossary.docx CDFI Fund Glossary IC Document

Information Collection (IC) Details

IC Title:	Annual Certification and Data Collection Report Form - ACR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Revision_2022	CDFI Transaction Level Report Form	OMB# 1559-0046 CDFI Transaction Level Report Form .docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,460	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,460	610	850
Annual IC Time Burden (Hours)	20,440	13,640	6,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
CDFI Fund Glossary	CDFI Fund Glossary.docx	08/24/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.