SBA Form 3306 Small Business Prime Contractor of the Year

Small Business Administration Award Nomination

33425-0360 3306 - Small Business Prime Contractor of the Year Nomination Form Final 8-9-17

SMALL BUSINESS ADMINISTRATION AWARD NOMINATION

OMB: 3245-0360

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OMB Control Number 3245-0360
Expiration Date:

National Small Business Week
SBA Form 3306, Small Business Prime Contractor
of the Year
Instructions: Refer to the National Small Business Week Award Nominations Guidelines
for detailed instructions for submitting nominations.

This form must be completed by a Federal agency official. The completed form must be
submitted with the nomination package as noted in the award guidelines. Answer each question
as fully as possible; if it is not applicable, state N/A.
1. Nominee Information:
a. Name:
b. Title:
c. Business name:
d. Business address:
e. Business phone number:
f. Business email address:
2. Nominator Information:
a. Nominator name:
b. Title:
c. Address:
d. Phone number:
e. Email address:
Answer each of the following questions in 200 words or less.
3. Provide a biography for the nominee(s):
4. Describe the nominee’s business, including areas served:
SBA Form 3306 (08/2017) (Previous Editions Obsolete)

5. Did the business receive SBA assistance (e.g. SBA loan, U.S. Export Assistance Center,
Veteran’s Business Outreach Center, Boots to Business, Procurement Technical Assistance
Center, government contracting, SCORE counseling, Small Business Development Center
(SBDC) assistance, Women’s Business Center (WBC) assistance, disaster assistance, or
Emerging Leaders Initiative)? If yes, please explain (include the amount and date of
financial assistance received if applicable):
6. Cite specific examples of contract performance such as overall satisfaction of the contract
requirements as specified by the customer or customer interface/customer support:
7. Cite specific examples of the innovativeness of product(s) or service(s) offered such as
specific description of unique/superior product or service and an explanation of how the
product or service fills a niche or a technical need not being adequately addressed by the
competition:
8. Provide a description of exceptional results and/or delivery performance that makes this
company a valued product/service provider.
Caution: Penalties for False Statements
Knowingly making a false statement on this form is a violation of Federal law and could result in
criminal prosecution, significant civil penalties, and a denial of program participation or other
benefits awarded by the agency. A false statement is punishable under 18 U.S.C. §§ 1001 and
3571 by imprisonment of not more than five years and/or a fine of not more than $250, 000, and
under 15 U.S.C. § 645 by imprisonment of not more than two years and/or a fine of not more
than $5,000.
Paperwork Reduction Act Notice:
SBA will use the information collected on this form, along with other information submitted by
award nominees as part of the nomination package, to determine the nominee's eligibility for a
particular small business award; to identify any actual or apparent conflict of interest and, to
make eventual award determinations. Responding to this request for information is voluntary.
However, failure to provide the requested information may affect SBA’s ability to make a
decision regarding your eligibility for an award.
You are not required to respond to any collection of information unless it displays a currently
valid OMB control number (3245-0360). The estimated burden for completing this form is 1
hour and 15 minutes, including the time for reviewing the instructions, and gathering and
compiling data. Combined with the time for completing the Form 3300, the total estimated time
to prepare and submit the nomination package for each nominee is 90 minutes. Comments on
this burden estimate should be sent to the U.S. Small Business Administration, Chief, AIB 409
3rd St., SW, Washington, DC 20416, and Desk Officer for the U.S. Small Business
Administration, Office of Management and Budget, New Executive Office Building, Room
10202, Washington, DC 20503. DO NOT SEND COMPLETED FORMS TO OMB. Submit
them to the location indicated in the nomination guide.

SBA Form 3306 (08/2017) (Previous Editions Obsolete)


File Typeapplication/pdf
AuthorGoriel, Natale S.
File Modified2017-08-09
File Created2017-08-09

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