Supporting Statement SBA Form 25

Supporting Statement SBA Form 25.doc

25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance

OMB: 3245-0081

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SUPPORTING STATEMENT FOR SBA FORMS 25, 33, 34 AND 1065

(APPLICANTS FOR SBA-GUARANTEED LEVERAGE)



A. Justification


1. Circumstances necessitating the collection of information. The Small Business Investment Act of 1958, as amended (Act), authorizes the Small Business Administration (SBA) to license Small Business Investment Companies (SBICs) and to regulate their operations [Sec. 301 (c) and Sec. 308 (c)]. The Act authorizes the SBA to provide two types of guaranteed funding to SBICs: (i) debt type funding through the sale of debentures; and, (ii) equity type funding through the sale of certain rights in Participating Securities [Sec. 303 (b)].


To receive either type of SBA-guaranteed funding, an SBIC must complete the documents and forms required as part of SBA's two-part leverage application process. Part 1: File a commitment application to receive a commitment from SBA to reserve funds for up to five fiscal years. All the forms submitted for approval under this extension submission (SBA Forms 25, 33, 34 and 1065) (OMB Control # 3245 0081) are part of this commitment application, and are the only forms in that application package that require OMB’s approval. Beginning in FY 2005, program level is no longer available to offer commitments for Participating Securities. Therefore, commitment applications are no longer accepted for Participating Securities. Part 2: File draw application(s) to receive funds by drawing a portion (or all) of the outstanding committed Participating Security or debenture funds, as needed. All the forms required in the draw application are either: certifications, or have been approved by OMB under another approval number. Draw applications are accepted for processing by SBA twice a month.


2. How, by whom, and for what purpose information will be used. The forms are required as part of a SBA debenture commitment application to provide SBA with the necessary information to make informed and proper credit decisions. The forms are also needed to establish eligibility for leverage, and to demonstrate need for funds by SBICs. SBA Forms 25, 34 and 1065 are completed and filed with each commitment application. SBA Form 33 is also filed as part of the commitment application, but is only required to be filed when a portion of any approved commitment is to be used to refinance existing debenture leverage. Since the vast majority of commitment applications are intended when drawn to be used to provide new financing to small businesses, and not to refinance exiting debenture leverage, SBA Form 33 is seldom required. Three versions of SBA Form 25 are provided (Form 25 PIGP, Individual General Partner Certificate, Form 25 PC, Corporate Resolution, and Form 25 PGCP, Corporate General Partner Resolution). SBA Form 25 is a model form of Corporate Resolution or General Partners Certificate that authorizes the SBIC to enter into funding arrangements. An applicant SBIC only needs to submit one SBA Form 25 per each commitment application using the version of Form 25 that is applicable to its structure. SBA Form 34 provides the account information needed to credit an SBIC's designated account with drawn funds. SBA Form 1065 is an agreement not to use funds for purposes contrary to the public interest (as defined by SBA Regulations).


3. Technological collection techniques. All SBIC commitment application forms and instructions are available on the SBA’s Investment Division Web Page. Some of the forms submitted in the commitment application, including SBA Form 25, require original signatures. The SBA does not yet have the capability to accept electronic signatures. In addition, all mail currently delivered to SBA by the U.S. Postal Service is irradiated prior to its delivery. The irradiation process causes documents to prematurely age and become damaged and brittle. As a result of the above reasons and to insure its timely delivery, each commitment application must be express mailed to SBA.


4. Avoidance of Duplication. The type of information requested in the application process is current data regarding the business entity and its present financial status and is not reported in any other format. Therefore, the information is not available from any other source, nor is there any duplication of information or documentation.


5. Impact on small business or other small entities. The information requested is obtained only from SBICs who are seeking leverage. There is no significant economic impact on a substantial number of these entities Only information deemed essential to provide proper legal documentation, and allow for both responsible financial review and efficient administration of the funding process is requested of this group of SBICs.


6. Consequences if collection of information is not conducted. The collection of this information is necessary for the effective and efficient administration of the SBIC Program. Important credit decisions are based on the information submitted in leverage applications. The required forms are also necessary to demonstrate legal authority for leverage transactions. Without the information collected through these forms, SBA would not have adequate documentation on which to base credit decisions and, therefore, could not soundly administer this Federal program.


7. Existence of special circumstances. There are no special circumstances that would cause the collection of information from respondents in any manner listed in this item.


8. Solicitation of public comment. Published in the Federal Register on February 27, 2008, VOL. 73, NO. 39, Page 10505. No comments received.

9. Payment or gifts. Respondents are not provided any payment or gift for providing the information required by these application documents.


10. Assurance of confidentiality. The information collected includes financial data relative to an SBIC’s application for guaranteed leverage, which is protected from disclosure under the Freedom of Information Act; specifically, exemptions 4, 6 and 8 allow SBA to withhold financial data on individual companies. The information collected will be protected to the extent permitted by law.


11. Questions of a sensitive nature. Information of a sensitive nature is not requested of respondents.


12. Estimate of the hourly burden of the collection of information. The burden HOUR calculation for each form is made as follows:


SBA Form Numbers 25 34 1065 33 Total

Est. No. of Responses per respondent 1 1 1 1

Est. Hrs to Complete Form 0.333 0.333 0.200 0.333

Est. Minutes to Compete Form 20 min 20 min 12 min 20 min

Est. Annual Submissions x48 x48 x48 x4

Estimated Total Hour Burden 16.00 16.00 9.60 1.33 43 hrs


The hour and annualized cost calculations are based on completion time estimates provided by previous use of forms by respondents and current wage and mailing costs.


The annualized cost of this collection to respondents is estimated to be $859. The following calculations are based on the time it takes an executive secretary to complete each form:


SBA Form Numbers 25 34 1065 33 Total

Cost to Complete Forms @ $20/Hr. $6.67 $6.67 $4.00 $6.67

Total Estimated cost Per Submission $6.67 $6.67 $4.00 $6.67

Estimated Number of Submissions x48 x48 x48 x4

$320.16 $320.16 $192.00 $26.68 $859


13. Estimate of total annual cost burden. There are no capital or start-up costs associated with the submission of these forms. The operational cost of express mailing the commitment application to SBA is estimated to be $720. The mailing cost is calculated as follows: [48 (Annual Submissions) {times} $15 (Estimated Cost of Express Mail)].


14. Estimated annualized cost to the Federal government. The annualized cost to the Federal government for this collection is estimated to be $702 based upon review of the data by a GS 13, Financial Analyst whose salary is $40.00 per hour. This calculation is made as follows:


SBA Form Numbers 25 34 1065 33 Total

Cost of Review & Analysis $10.00 $2.22 $2.22 $2.22

Total Estimated Cost Per Submission $10.00 $2.22 $2.22 $2.22

Total Estimated Number of Submissions x48 x48 x48 x4

Total Est. Annual Cost to Fed. Govt. $480.00 $106.56 $106.56 $8.88 $702



15. Explanation of program changes in Items 13 or 14 on OMB Form 83-I. The volume of commitment applications received has declined in the last three fiscal years – while the average amount of each commitment application has increased. The estimated number of commitment applications received each fiscal year has been revised from 50 to 48 to account for this modest reduction in level of applications.


16. Collection of information whose results will be published. This information is not intended for publication.


17. Expiration date for collection of information. Not applicable.


18. Exceptions to certifications in Block 19 on OMB Form 83-I. Not applicable.


B. Collection of Information Employing Statistical Methods.

This collection of information does not employ statistical methods.



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File Typeapplication/msword
File TitleSupporting Statement
AuthorJohnny A. Kitts
Last Modified ByCBRich
File Modified2008-07-16
File Created2008-07-16

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