Form N-5, registration statement of small business investment companies under the Securities Act of 1933 and the Investment Company Act of 1940

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SEC-993 Form N-5 (17 CFR 239.24) under the Securities Act of 1933 (17 CFR 239.24) and the Investment Company Act of 1940 (17 CFR 274.5). Registration Statement of Small Business Investment Company	Form and Instruction	Modified	Available
REVISED Supporting Statement Form N-5.pdf	Supporting Statement A	Uploaded 2020-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
34489	Form N-5 (17 CFR 239.24) under the Securities Act of 1933 (17 CFR 239.24) and the Investment Company Act of 1940 (17 CFR 274.5). Registration Statement of Small Business Investment Company	Form and Instruction	Modified

ICR Details

OMB Control No: 3235-0169	ICR Reference No: 201910-3235-007
Status: Active	Previous ICR Reference No: 201811-3235-009
Agency/Subagency: SEC	Agency Tracking No: IM-270-172
Title: Form N-5, registration statement of small business investment companies under the Securities Act of 1933 and the Investment Company Act of 1940
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/30/2020
	Date Received in OIRA: 10/28/2019
Terms of Clearance: Comments: Tracked changes removed from supporting statement.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2022
Responses	1	0	1
Time Burden (Hours)	117	0	117
Cost Burden (Dollars)	10,100	0	10,000

---

Abstract: Form N-5 is the registration statement used by small business investment companies to register under the Investment Company Act and to register their securities for sale to the public under the Securities Act of 1933.

---

Authorizing Statute(s): US Code: 15 USC 77e Name of Law: Securities Act of 1933
   US Code: 15 USC 80a-8 Name of Law: Investment Company Act of 1940
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3235-AM00	Final or interim final rulemaking	84 FR 12674	04/02/2019

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Form N-5 (17 CFR 239.24) under the Securities Act of 1933 (17 CFR 239.24) and the Investment Company Act of 1940 (17 CFR 274.5). Registration Statement of Small Business Investment Company	SEC-993	Form N-5

---

ICR Summary of Burden

table that charts list of burden

	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	1	1	0	0	0	0
Annual Time Burden (Hours)	117	117	0	0	0	0
Annual Cost Burden (Dollars)	10,100	10,000	100	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/28/2019

---