OMB control number
Financing Eligibility Statement for Usage of Energy Saving Debenture
OMB 3245-0379 · SBA.
OMB 3245-0379
Small Business Administration Form 2428 is used by Small Business Investment Companies (SBICs) requesting a determination of eligibility for SBA leverage in form of a deferred interest "Energy Saving Debenture" to be used only in making an "Energy Saving Qualified Investment".Eligibility is based on whether a Small Business to be financed with leverage proceeds is "primarily engaged" in Energy Savings Activities as defined in the SBIC program regulations. An SBIC must provide supporting evidence of Small Business eligibility, and the Small Business must certify the information is true and correct.
The latest form for Financing Eligibility Statement for Usage of Energy Saving Debenture expires 2021-11-30 and is listed under ICR 201810-3245-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SBA Form 2428 Energy Saving Qualified Investment | Form and Instruction |
 3245-0379 - Regulation 10-10-18.docx | Supplementary Document |
| 3245-0379 SBA Supporting Statement Final 10-10-18.docx | Supporting Statement A |
 Energy Saving Qualified Investment |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201810-3245-001 | Extension without change of a currently approved collection | 2018-10-10 | Approved without change | |
| 201507-3245-002 | Revision of a currently approved collection | 2015-07-08 | Approved without change | |
| 201204-3245-005 | New collection (Request for a new OMB Control Number) | 2012-04-19 | Approved with change |