Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees

OMB 3245-0118

Small Business Administration (SBA) Forms 856 and 856A are used by SBA examiners as part of their examination of licensed small business investment companies (SBICs). This information collection obtains representations from an SBIC's management regarding certain obligations, transactions and relationships of the SBIC and helps SBA to evaluate the SBIC's financial condition and compliance with applicable laws and regulations.

The latest form for Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SBA Form 856 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction
Form SBA FORM 856 Disclosure Statement Lveraged Licensees Form and Instruction
3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3-23-2022.docx Supplementary Document
3245-0118 SBA Form 856~856A PRA Renewal Suppl Stmt FINAL 3-23-2022.docx Supporting Statement A
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction
Disclosure Statement Lveraged Licensees Form and Instruction

All Historical Document Collections

202204-3245-002 Approved without change	Reinstatement without change of a previously approved collection	2022-04-05
201807-3245-001 Approved without change	Revision of a currently approved collection	2018-07-31
201505-3245-003 Approved without change	Extension without change of a currently approved collection	2015-05-20
201206-3245-001 Approved without change	Revision of a currently approved collection	2012-06-01
200903-3245-001 Approved without change	Reinstatement without change of a previously approved collection	2009-03-04
200511-3245-002 Approved without change	Extension without change of a currently approved collection	2005-11-09
200209-3245-001 Approved without change	Reinstatement with change of a previously approved collection	2002-09-05
199807-3245-002 Approved without change	Extension without change of a currently approved collection	1998-07-30
199509-3245-002 Approved without change	Revision of a currently approved collection	1995-09-20
199207-3245-001 Approved without change	Extension without change of a currently approved collection	1992-07-08
198907-3245-002 Approved without change	Reinstatement with change of a previously approved collection	1989-07-07
198904-3245-023 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-11
198707-3245-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-07-27
198605-3245-002 Approved without change	Extension without change of a currently approved collection	1986-05-20
198305-3245-004 Approved without change	New collection (Request for a new OMB Control Number)	1983-05-26

OMB Details

Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees

Federal Enterprise Architecture: Economic Development - Financial Sector Oversight

Form SBA Form 856	Disclosure Statement Leveraged Licensees	Paper Only	Form and instruction
Form SBA Form 856A	Disclosure Statement Non-Leveraged Licensees	Paper Only	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.