Information Collection

Certification of Material Events Form

IC 192127 under ICR 202305-1559-001 · OMB 1559-0037.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1559-0037 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 201701 Certification of Material Events Form	Form and Instruction
201701 Certification of Material Events Form 1559-0037 Material Event Form (May 2023) 8.16.23.docx www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event	Form and Instruction
201701 Certification of Material Events Form 1559-0037 Material Event Form (May 2023) 8.16.23.docx www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event	Form and Instruction

IC Title:

Certification of Material Events Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	201701	Certification of Material Events Form	1559-0037 Material Event Form (May 2023) 8.16.23.docx	https://www.cdfifund.gov/Documents/Approved%20Certification%20of%20Material%20Events%20Form.pdf#search=material%20event	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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