Information Collection

Form N-17D-1 Report Filed by Small Business Investment Company (SBIC) Registered Under the Investment Company Act of 1940 and an Affiliated Bank, with Respect to Investments by the SBIC and the Bank

IC 34635 under ICR 201701-3235-001 · OMB 3235-0229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3235-0229 can be found here:

Documents and Forms

Document Name Document Type
Form SEC 1839 Form N-17D-1 Report Filed by Small Business Investment Company (SBIC) Registered Under the Investment Company Act of 1940 and an Affiliated Bank, with Respect to Investments by the SBIC and the Bank Form and Instruction
SEC 1839 Form N-17D-1 formn-17d-1.pdf www.sec.gov/files/formn-17d-1.pdf Form and Instruction
EDGAR PIA 2016.pdf EDGAR PIA IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form N-17D-1 Report Filed by Small Business Investment Company (SBIC) Registered Under the Investment Company Act of 1940 and an Affiliated Bank, with Respect to Investments by the SBIC and the Bank	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 17 CFR 270.17d-1(d)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SEC 1839	Form N-17D-1	formn-17d-1.pdf	https://www.sec.gov/files/formn-17d-1.pdf	Yes	No	Fillable Printable

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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
EDGAR PIA	EDGAR PIA 2016.pdf	05/10/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.