Information Collection

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

IC 35613 under ICR 202308-3245-001 · OMB 3245-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0062 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA Form 2181 SBIC Program Application Instructions SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form and Instruction
Form SBA Form 2181 Pre-Screen SBIC MAQ short form SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 Long SBIC MAQ Long form SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Activities Relationship Certification SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Individual Declarations SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Significant Investor Declarations SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 MAQ Individual Legal Questionnaire SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Legal Document Certification SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Capital Certificate SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
Form SBA Form 2181 SBIC Transferors Liability Contract SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Form
SBA Form 2181 SBIC Program Application Instructions 3245-0062 SBA Form 2181 SBIC Program Application Instructions 8-8-2023.docx	Form and Instruction
SBA Form 2181 Pre-Screen SBIC MAQ short form 3245-0062 Copy of SBA Form 2181 Pre-Screen SBIC MAQ (Short Form) 8-8-2023.xlsx	Form
SBA Form 2181 Long SBIC MAQ Long form 3245-0062 Copy of SBA Form 2181 SBIC MAQ (Long Form) 8-8-2023.xlsx	Form
SBA Form 2181 SBIC Activities Relationship Certification 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit A Activities Relationship Certification 8-8-2023.xlsx	Form
SBA Form 2181 SBIC Individual Declarations 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit B Individual Declarations (8.8.2023).xlsx	Form
SBA Form 2181 SBIC Significant Investor Declarations 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit C Significant Investor Declarations (8.8.2023).xlsx	Form
SBA Form 2181 MAQ Individual Legal Questionnaire 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit D Individual Legal Questionnaire (8.8.2023).xlsx	Form
SBA Form 2181 SBIC Legal Document Certification 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit E Legal Document Certification (8.8.2023).xlsx	Form
SBA Form 2181 SBIC Capital Certificate 3245-0062 Copy of SBA Form 2181 SBIC MAQ Exhibit F Capital Certificate (8.8.2023).xlsx	Form
SBA Form 2181 SBIC Transferors Liability Contract 3245-0062 SBA Form 2181 SBIC MAQ Exhibit G Transferors Liability Contract (8.8.2023) 8-8-2023.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 107.410

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA Form 2181	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 Long form	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit A	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit B	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit C	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 MAQ Exhibit D	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit E	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit F	www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit G	www.sba.gov/inv	Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 275

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 67 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	275	-100	375
Annual IC Time Burden (Hours)	17,750	-6,875	24,625
Annual IC Cost Burden (Dollars)	6,502,073	4,141,779	2,360,294

Documents for IC

table that charts IC Documents
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.

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