SSBCI Application

State Small Business Credit Initiative Allocation Agreement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0227 can be found here:

Documents and Forms

Document Name Document Type
SSBCI Application Form
Enrolled Loan Tables (CAP).xlsx Other-Enrolled Loan Tables
Leverage Tables.xlsx Other-Leverage Tables
Section 8.1B_OCSP Additional Considerations.docx Other-OCSP Additional Considerations
Section 8.1B_OCSP Program Information.docx Other-OCSP Program Information
Section 9_Assurances of Compliance with Civil Rights Requirements.pdf Other-Assurances of Compliance with
Section 9_Staff Compliance and Oversight.docx Other-Staff Compliance and Oversight
SSBCI Application 1505-0227 SSBCI Application Text.docx Form

Information Collection (IC) Details

IC Title:	SSBCI Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	SSBCI Application	1505-0227 SSBCI Application Text.docx	Yes	Yes	Fillable Fileable
Other-Enrolled Loan Tables			Enrolled Loan Tables (CAP).xlsx	Yes	Yes	Fillable Fileable
Other-Leverage Tables			Leverage Tables.xlsx	Yes	Yes	Fillable Fileable
Other-OCSP Additional Considerations			Section 8.1B_OCSP Additional Considerations.docx	Yes	Yes	Fillable Fileable
Other-OCSP Program Information			Section 8.1B_OCSP Program Information.docx	Yes	Yes	Fillable Fileable
Other-Assurances of Compliance with Civil Rights Requirements			Section 9_Assurances of Compliance with Civil Rights Requirements.pdf	Yes	Yes	Fillable Fileable
Other-Staff Compliance and Oversight			Section 9_Staff Compliance and Oversight.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,500	2,500
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.