Energy Saving Qualified Investment

Financing Eligibility Statement for Usage of Energy Saving Debenture

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0379 can be found here:

Documents and Forms

Document Name Document Type
Form SBA FORM 2428 Energy Saving Qualified Investment Form and Instruction
SBA FORM 2428 Small Business Investment Company Financing Eligibility ESQI Financing Eligibility Statement 08-01-2012.docx www.sba.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Energy Saving Qualified Investment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 107.50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA FORM 2428	Small Business Investment Company Financing Eligibility Statement for Usage of Energy Saving Debenture	ESQI Financing Eligibility Statement 08-01-2012.docx	www.sba.gov	Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.