Financing Eligibility Statement, Social Disadvantaged-Economic Disadvantaged

ICR 199804-3245-002

OMB: 3245-0301

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3245-0301 199804-3245-002
Historical Active 199503-3245-003
SBA
Financing Eligibility Statement, Social Disadvantaged-Economic Disadvantaged
Extension without change of a currently approved collection   No
Regular
Approved without change 06/18/1998
Retrieve Notice of Action (NOA) 04/24/1998
  Inventory as of this Action Requested Previously Approved
07/31/2001 07/31/2001 06/30/1998
932 0 1,000
1,864 0 2,000
0 0 0

Small businesses seeking financing from SBICs will complete this form for the purpose of demonstrating their eligibility on the basis of social or economic disadvantage. Written certification of eligibility is required by the Small Business Investment Act of 1958, as amended.

None
None


No

1
IC Title Form No. Form Name
Financing Eligibility Statement, Social Disadvantaged-Economic Disadvantaged SBA-FORM-1941-A, SBA-FORM-1941-B, SBA-FORM-1941-C

  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 932 1,000 0 -68 0 0
Annual Time Burden (Hours) 1,864 2,000 0 -136 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
04/24/1998


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