Financial Institution Confirmation Form

ICR 200102-3245-001

OMB: 3245-0116

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
35667 Migrated
ICR Details
3245-0116 200102-3245-001
Historical Active 200005-3245-003
SBA
Financial Institution Confirmation Form
Extension without change of a currently approved collection   No
Regular
Approved without change 05/16/2001
Retrieve Notice of Action (NOA) 02/28/2001
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 05/31/2001
1,500 0 750
750 0 750
0 0 0

Form 860 is used by SBA examiners to obtain information about assets of small business investment companies (SBICs) that are held in accounts at financial institutions, and about SBIC borrowings from financial institutions. This information, which is collected directly from the financial institutions, provides independent confirmation of asset and liability figures reported to SBA by SBICs as well as supplemental information used to evaluate regulatory compliance and financial condition.

None
None


No

1
IC Title Form No. Form Name
Financial Institution Confirmation Form 860

  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 1,500 750 0 750 0 0
Annual Time Burden (Hours) 750 750 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/28/2001


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