APPLICATION FOR MEMBERSHIP IN SMALL BUSINESS PRODUCTION OR RESEARCH AND DEVELOPMENT POOL

ICR 198408-3245-004

OMB: 3245-0079

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3245-0079 198408-3245-004
Historical Active 198205-3245-001
SBA
APPLICATION FOR MEMBERSHIP IN SMALL BUSINESS PRODUCTION OR RESEARCH AND DEVELOPMENT POOL
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/09/1984
Retrieve Notice of Action (NOA) 08/21/1984
Only 3 copies of form may be requested of applicant.
  Inventory as of this Action Requested Previously Approved
10/31/1987 10/31/1987
50 0 0
100 0 0
0 0 0

SBA IS MANDATED BY P.L. 85-536, SECTIONS 9 AND 11, TO ASSIST/ENCOURAGE SMALL FIRMS TO UNDERTAKE JOINT PROGRAMS FOR RESEARCH/DEVELOPMENT AND T FORM DEFENSE PRODUCTION POOLS IN ORDER TO MAINTAIN AND STRENGTHEN THE COMPETITIVE FREE ENTERPRISE SYSTEM AND THE NATIONAL ECONOMY AND TO EXPAND AND MAINTAIN A STRONG INDUSTRIAL PRODUCTION BASE. SBA FORM 419 IS NEEDED/USED BY SMALL FIRMS TO VOLUNTARILY APPLY FOR POOL MEMBERSHIP APPROVAL.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR MEMBERSHIP IN SMALL BUSINESS PRODUCTION OR RESEARCH AND DEVELOPMENT POOL SBA 419

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 0 0 50 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
08/21/1984


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