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Federal forms, ICRs, and supporting documents

Information Collection Request

Financing Eligibility statement - social disadvantaged - Economic Disadvantaged

ICR 200105-3245-004 · OMB 3245-0301 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
35751 Financing Eligibility statement - social disadvantaged - Economic Disadvantaged Form Migrated
ICR Details
3245-0301 200105-3245-004
Historical Active 199804-3245-002
SBA
Financing Eligibility statement - social disadvantaged - Economic Disadvantaged
Extension without change of a currently approved collection   No
Regular
Approved without change 07/19/2001
Retrieve Notice of Action (NOA) 05/09/2001
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004 07/31/2001
293 0 932
586 0 1,864
0 0 0
Small Businesses seeking financing from SBIC's will complete this form for the purpose of demonstrating their eligibility on the basis of social or economic disadvantaged. Written certification of eligibility is required by the Small Business Investment Act of 1958, as amended.
None
None
No
1
IC Title Form No. Form Name
Financing Eligibility statement - social disadvantaged - Economic Disadvantaged FORM-1941B, FORM-1941C, FORM-1941A
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 293 932 0 -639 0 0
Annual Time Burden (Hours) 586 1,864 0 -1,278 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/09/2001