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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SBA Form 34 Instructions for Bank Identification	Form and Instruction	Modified	Repair queued
Form SBA Form 33 Instructions for the Authorization to Disburse Proceeds	Form and Instruction	Modified	Repair queued
Form SBA Form 25 LLGP Limited Liability General Partner Resolution	Form and Instruction	Modified	Repair queued
Form SBA Form 25 PC Corporate Resolution for SBA Committment	Form and Instruction	Modified	Available
Form SBA Form 25 PCGP Corporarte General Partner Resolution	Form and Instruction	Modified	Available
3245-0081 Web links to current SBI Act & SBIC Regulations 2-25-15.pdf	Supplementary Document	Uploaded 2015-02-25	Available
3245-0081 Supporting Statement 2-25-15.doc	Supporting Statement A	Uploaded 2015-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	Form and Instruction	Modified	Instructions for Bank Identification
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	Form and Instruction	Modified	Instructions for the Authorization to Disburse Proceeds
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	Form and Instruction	Modified	Limited Liability General Partner Resolution
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	Form and Instruction	Modified	Corporate Resolution for SBA Committment
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	Form and Instruction	Modified	Corporarte General Partner Resolution

ICR Details

OMB Control No: 3245-0081	ICR Reference No: 201502-3245-007
Status: Historical Active	Previous ICR Reference No: 201201-3245-001
Agency/Subagency: SBA	Agency Tracking No:
Title: 25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/03/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	70	0	48
Time Burden (Hours)	47	0	42
Cost Burden (Dollars)	0	0	0

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Abstract: Applicants for SBA-guaranteed commitment must complete these forms as part of the application process. SBA uses the information to make informed and proper credit decisions and to establish the SBIC's eligibility for leverage and need for funds.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 56614	09/22/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 10202	02/25/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	SBA Form 25 PC , SBA Form 33, SBA Form 34 , SBA Form 25 LLGP , SBA Form 25 PCGP	Corporarte General Partner Resolution ,   Corporate Resolution for SBA Committment ,   Limited Liability General Partner Resolution ,   Instructions for the Authorization to Disburse Proceeds ,   Instructions for Bank Identification

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	70	48	0	22	0	0
Annual Time Burden (Hours)	47	42	0	5	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to newly licensed SBIC's seeking guaranteed leverage

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Annual Cost to Federal Government: $702

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/25/2015

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