Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage

ICR 201704-3245-002

OMB: 3245-0301

Federal Form Document

IC Document Collections
ICR Details
3245-0301 201704-3245-002
Historical Active 201312-3245-006
SBA
Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage
Extension without change of a currently approved collection   No
Regular
Approved without change 05/15/2017
Retrieve Notice of Action (NOA) 04/13/2017
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved 05/31/2017
10 0 50
15 0 100
0 0 0

Small Businesses seeking financing from specialized small business investment companies will complete this form for the purpose of demonstrating their eligibility for such financing based on their ownership by individuals who either socially or economically disadvantaged. Written certification of eligibility is required by the Small Business e Investment of 1958.

None
None

Not associated with rulemaking

  81 FR 75896 11/01/2016
82 FR 16466 04/04/2017
No

  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 10 50 0 -40 0 0
Annual Time Burden (Hours) 15 100 0 -85 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Decrease in burden estimates reflect the anticipated number of respondents based upon the current number of active SSBIC licensees.

$0
No
No
No
No
No
Uncollected
LOUIS Cupp 202 619-0511

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/13/2017


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