Form should
include Privacy Act Statement and Paperwork Reduction Act Statement
(i.e. mandatory or voluntary) as appropriate.
Inventory as of this Action
Requested
Previously Approved
09/30/1987
09/30/1987
07/31/1984
2,585
0
25
644
0
7
0
0
0
THE 415C SERVES AS COVER SHEET TO
IDENTIFY ANY POST-LICENSING CHANGES. THESE CHANGES INCLUDE ITEMS
SUCH AS: CHANGES IN OWNERSHIP, MANAGEMENT OR CAPITALIZATION. SMALL
BUSINESS INVESTMENT COMPANIES ARE REQUIRED BY REGULATION TO SUBMIT
ALL CHANGES TO SBA FOR POST APPROVAL AS A CONDITION FOR THE
CONTINUANCE OF THEIR LICENSE.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.