Information Collection

Form N-5 (17 CFR 239.24) under the Securities Act of 1933 (17 CFR 274.5) and the Investment Company Act of 1940. Registration Statement of Small Business Investment Company.

IC 34489 under ICR 201210-3235-003 · OMB 3235-0169.

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Information Collection (IC) Details

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IC Title:	Form N-5 (17 CFR 239.24) under the Securities Act of 1933 (17 CFR 274.5) and the Investment Company Act of 1940. Registration Statement of Small Business Investment Company.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 239.24 17 CFR 274.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	117	-235	352
Annual IC Cost Burden (Dollars)	10,000	-16,000	26,000

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