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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 35613 under ICR 202509-3245-001 · OMB 3245-0062.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form SBA Form 2181
SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form and Instruction
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-
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 SBIC
SBIC MAQ Long Form SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC Subsequent Fund MAQ SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit A Relationship Certification SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit B Individual Declarations SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 MAQ
SBIC MAQ Exhibit C Significant Investor Declarations SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit D Individual Legal Questionnaire SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit E Legal Document Certification SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit F Capital Certificate SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire		 Form
Form SBA Form 2181 SBIC
SBIC MAQ Exhibit 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
Form 2181 SBIC Application Instructions v3.0.pdf
www.sba.gov/inv 		Form and Instruction
SBA Form 2181 SBIC Program Application Instructions
Form 2181 SBIC Application Instructions v3.0.pdf
www.sba.gov/inv 		Form and Instruction
SBA Form 2181 Pre- Pre-Screen SBIC MAQ Short Form
SBA Form 2181 Prescreen MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 Pre- Pre-Screen SBIC MAQ Short Form
SBA Form 2181 Prescreen MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Long Form
SBA Form 2181 SBIC MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Long Form
SBA Form 2181 SBIC MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC Subsequent Fund MAQ
SBA Form 2181, Sub-Fund MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC Subsequent Fund MAQ
SBA Form 2181, Sub-Fund MAQ v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit A Relationship Certification
3245-0062 SBA Form 2181 SBIC MAQ Exhibit A Activities Relationship Certification 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit A Relationship Certification
3245-0062 SBA Form 2181 SBIC MAQ Exhibit A Activities Relationship Certification 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit B Individual Declarations
3245-0062 SBA Form 2181 SBIC MAQ Exhibit B Individual Declarations 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit B Individual Declarations
3245-0062 SBA Form 2181 SBIC MAQ Exhibit B Individual Declarations 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 MAQ SBIC MAQ Exhibit C Significant Investor Declarations
3245-0062 SBA Form 2181 SBIC MAQ Exhibit C Significant Investor Declarations 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 MAQ SBIC MAQ Exhibit C Significant Investor Declarations
3245-0062 SBA Form 2181 SBIC MAQ Exhibit C Significant Investor Declarations 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit D Individual Legal Questionnaire
3245-0062 SBA Form 2181 SBIC MAQ Exhibit D Individual Legal Questionnaire 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit D Individual Legal Questionnaire
3245-0062 SBA Form 2181 SBIC MAQ Exhibit D Individual Legal Questionnaire 1-16-2024 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit E Legal Document Certification
3245-0062 SBA Form 2181 SBIC MAQ Exhibit E Legal Document Certification 1-16-2023 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit E Legal Document Certification
3245-0062 SBA Form 2181 SBIC MAQ Exhibit E Legal Document Certification 1-16-2023 OMB Submission.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit F Capital Certificate
SBA Form 2181 Exhibit F Capital Certificate v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit F Capital Certificate
SBA Form 2181 Exhibit F Capital Certificate v3.0.xlsx
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit Transferors Liability Contract
3245-0062 SBA Form 2181 SBIC MAQ Exhibit G Transferors Liability Contract 1-16-2024 OMB Submission.pdf
www.sba.gov/inv 		Form
SBA Form 2181 SBIC SBIC MAQ Exhibit Transferors Liability Contract
3245-0062 SBA Form 2181 SBIC MAQ Exhibit G Transferors Liability Contract 1-16-2024 OMB Submission.pdf
www.sba.gov/inv 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File 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 Pre-Screen www.sba.gov/inv Yes Yes Paper Only
Form SBA Form 2181 SBIC MAQ Long Form www.sba.gov/inv Yes Yes Paper Only
Form SBA Form 2181 SBIC Subsequent Fund www.sba.gov/inv Yes Yes Paper Only
Form SBA Form 2181 SBIC 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 MAQ Exhibit C www.sba.gov/inv Yes Yes Paper Only
Form SBA Form 2181 SBIC 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


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 325 0 0 0 0 325
Annual IC Time Burden (Hours) 21,749 0 0 0 0 21,749
Annual IC Cost Burden (Dollars) 9,228,291 0 0 0 0 9,228,291

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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