Form SBA Form 2298 SBA Form 2298 SBA HUBZone Data Update Form

SBA HUBZone Data Update Form
OMS APPROVAL 3245-0350
Expiration date 02/28/2007

Please complete the following information and reply to this e-mail back to
hu bzonestatcollection@)sba.aov.
"Business Name: DUNS Number:
AQQlicationNumber:

Assets:
Current:
Fixed:
Other:
Receipts:
Total Gross:

Financial Information
(From the most recent Financial Statements)
Liabilities:
Current:
$
Long Term: $

$
$
$
$

Emplovment Information
(From Your Latest Pavroll Information)
*Current Number of Employees for
(Should not be 0)
Company:
*Current

Number of Employees Who
Reside In a HUBZone:

HUBZone

(Can be 0, BUTcan not more than Current Number of
Employeesanswered above)

Proaram

Impact

Information

(From time of initial certification to the current date)
*Of the Number of Employees, how many were
hired as a result of your Firm's HUBZone
Certification: (number of emolovees)
*Of the Number of HUBZone Resident Employees,
how many were hired as a result of your Firm's
HUBZone Certification: (number residents)

Total estimated

capital

investment

your Firm as a result of the
Certification.(whole
dollar)
Please Note:
As noted previously,

Also, the estimated

Firm's

increase

providing

burden for completing

in

HUBZone
$
the requested

this form

information

is 30 minutes

is required.

per response.

You

are not required to respond to any collection of information unless it displays a
currently valid OMB approval number. Comments on the burden should be sent to
U.S. Small Business Administration, Chief, AIB, 409 3rd Street, S.W., Washington,
DC, OMB Approval (3245-0350).
PLEASE DO NOT SEND FORMS TO OMB.

Instructions:
Please complete, verify, and reply to this email with the same email
subject line to hubzonestatcollection@)sba.aov.
* full-time/full-time

SBA Form 2298

equivalent

(2-07)

employees

as defined

in Regulation

.§126.1O3