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⚠️ Notice: This information collection may be referencing outdated material.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 Small Business Inv Energy Saving Qualified Investment Form and Instruction
Small Business Inv SBA Form 2428 3245-0379 SBA Form 2428.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: Modified

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	Small Business Investment Company Financing Eligib	SBA Form 2428	3245-0379 SBA Form 2428.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	Previously Approved
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.