Energy Saving Qualified Investment

Financing Eligibility Statement for Usage of Energy Saving Debenture

Documents and Forms

Document Name Document Type
Form SBA Form 2428 Energy Saving Qualified Investment Form and Instruction
SBA Form 2428 Financing Eligibilty Statement for Usage Saving Debentur 3245-0379 SBA Form 2428 10-10-18.pdf 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	SBA Form 2428	Financing Eligibilty Statement for Usage Saving Debenture	3245-0379 SBA Form 2428 10-10-18.pdf	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.