Information Collection

Energy Saving Qualified Investment

IC 202003 under ICR 201204-3245-005 · OMB 3245-0379.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA FORM 2428 Small Business Investment Company Financing Eligibility Statement for Usage of Energy Saving Debenture Energy Saving Qualified Investment	Form and Instruction
SBA FORM 2428 Small Business Investment Company Financing Eligibility ESQI Financing Eligibility Statement 08-01-2012.docx	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA FORM 2428			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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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