Information Collection

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

IC 35613 under ICR 201309-3245-001 · OMB 3245-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SBIC Application Instructions 9-24-13.docx	Instruction
SBA FORM 2181 SBIC PROGRAM APPLICANT NARRATIVE SBIC Assesment SBA Form 2181.doc	Form and Instruction
SBA FORM 2181 EXCEL SUPPLEMENT SBIC Application SBA Form 2181 - Excel Supplement.xlsx	Form
SBA FORM 2182 Principal Exhibits SBIC Application SBA Form 2182 - Principal Exhibits 9-24-13.docx www.sba.gov/inv	Form and Instruction
SBA FORM 2182 EXHI SBIC PROGRAM EXHIBIT D SBIC Application SBA Form 2182 - Exhibit 9-24-13.xlsx	Form
SBA FORM 2182 EXHI EXHIBT E1 SBIC Application SBA Form 2182 Exhibit E1 9-24-13.xlsx	Form
SBA FORM 2182 EXHIBTS 2 SBIC Application SBA Form 2182 Exhibit E2 9-24-13.xlsx	Form
SBA FORM 2183 LICENSING APPLICATION EXHIBTS;FUND EXHIBTS SBIC Application SBA Form 2183 - Fund Exhibit 9-24-13.docx WWW.SBA.GOV/INV	Form and Instruction
SBA FORM 2183 EXHI EXHIBT T - SBIC DIRECTORY PROFILE SBIC Applicatiion SBA Form 2183 - Exhibit 9-24-13.xlsx	Form

IC Title:

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 107.410

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
Instruction			SBIC Application Instructions 9-24-13.docx		Yes	No	Paper Only
Form and Instruction	SBA FORM 2181	SBIC PROGRAM APPLICANT NARRATIVE	SBIC Assesment SBA Form 2181.doc		Yes	No	Fillable Fileable
Form	SBA FORM 2181	EXCEL SUPPLEMENT	SBIC Application SBA Form 2181 - Excel Supplement.xlsx		Yes	No	Paper Only
Form and Instruction	SBA FORM 2182	Principal Exhibits	SBIC Application SBA Form 2182 - Principal Exhibits 9-24-13.docx	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA FORM 2182 EXHIBIT D	SBIC PROGRAM EXHIBIT D	SBIC Application SBA Form 2182 - Exhibit 9-24-13.xlsx		Yes	No	Paper Only
Form	SBA FORM 2182 EXHIBT E1	EXHIBT E1	SBIC Application SBA Form 2182 Exhibit E1 9-24-13.xlsx		Yes	Yes	Paper Only
Form	SBA FORM 2182	EXHIBTS 2	SBIC Application SBA Form 2182 Exhibit E2 9-24-13.xlsx		Yes	No	Paper Only
Form and Instruction	SBA FORM 2183	LICENSING APPLICATION EXHIBTS;FUND EXHIBTS	SBIC Application SBA Form 2183 - Fund Exhibit 9-24-13.docx	WWW.SBA.GOV/INV	Yes	Yes	Paper Only
Form	SBA FORM 2183 EXHIBT T	EXHIBT T - SBIC DIRECTORY PROFILE	SBIC Applicatiion SBA Form 2183 - Exhibit 9-24-13.xlsx		Yes	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 63 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	390	-35	425
Annual IC Time Burden (Hours)	7,370	203	7,167
Annual IC Cost Burden (Dollars)	2,454,706	-220,294	2,675,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.