Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR)

Annual Certification and Data Collection Report Form

Documents and Forms

Document Name Document Type
Form Revision_2022 Annual Certification and Data Collection Report Form - Transaction Level Report. (TLR) 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 - Transaction Level Report. (TLR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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: 747	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
Annual Number of Responses for this IC	747	747
Annual IC Time Burden (Hours)	7,470	7,470
Annual IC Cost Burden (Dollars)	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.