Information Collection

NMVC Program Application, Funding and Reporting

IC 35801 under ICR 200810-3245-002 · OMB 3245-0332.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0332 can be found here:

Documents and Forms

Document Name Document Type
Form SBA FORM 2184 NMVC Program Application, Funding and Reporting Form and Instruction
SBA FORM 2184 NEW MARKETS VENTURE CAPITAL PROGRAM APPLICATION NMVC App 2184 Part I Questionnaire.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 2185 NEW MARKETS VENTURE CAPITAL PROGRAM APPLICATION PART II, NMVC App 2185 Part II Exhibits.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form
SBA FORM 2216 SSBIC INTERVIEW QUESTIONS NMVC App 2216 NMVCC~SSBIC Interview Questions.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SPECIALIZED SMALL BUSINESS INVESTMENT COMPANY (SSBIC) FO NMVC App SSBIC Grant (2).doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 468 SCHED LOW INCOME ENTERPRISE FINANCING IMPACT ASSESEMENT NMVC SBA Form 468 Schedule 10.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 468 SCHED SOCIAL ECONOMIC OR COMMUNITY ECNOMIC DEVELOPMENT IMPACT NMVC SBA Form 468 Schedule 9.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 468 SCHED LOW-INCOME INVESTMENTS NMVC SBA Form 468 Schedule 11.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 2208 NMVCC APPLICATION (SBA FORMS 2184 AND 2185) NMVC SBA Form 2208 NMVC App Amendment.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 2210 INSTRUCTIONS FOR NMVC DEBENTURE DRAW APPLICATION NMVC SBA Form 2210 Instructions.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 2217 REQUEST FOR SBA APPROVAL OF MANAGEMENT SERVICES FEES AND NMVC SBA Form 2217 Request for SBA Approval.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SF-269 FINANCIAL STATUS REPORT NMVC SF269.pdf www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SF-270 REQUEST FOR ADVANCE OR REIMBURSEMENT NMVC SF270.pdf www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 480 SIZE STATUS DECLARATION NMVC SBA480.pdf www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 34 INSTRUCTIONS FOR BANK IDENTIFICATION FORM (SBA FORM 34) NMVC SBA Form 34.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
BA FORM 2219 OPERATIONAL ASSISTANCE (OA) GRANT PERFORMACE REPORT NMVC Abandonment-Destruction Request1.doc www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html Form and Instruction
SBA FORM 1031 PORTFOLIO FINANCING REPORT NMVC SBA 1031.pdf www.sba.gov/aboutsba/sbaprograms/inv/nmvc/INV_NMVC_FORMS.html Form and Instruction
SBA FORM 468.1 CORPORATE SBIC'S NMVC 468.pdf WWW.SBA.GOV/ABOUTSBA/SBAPROGRAMS/INV/NMVC/inv_NMVC_FORMS.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NMVC Program Application, Funding and Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 13 CFR 108

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA FORM 2184	NEW MARKETS VENTURE CAPITAL PROGRAM APPLICATION	NMVC App 2184 Part I Questionnaire.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form	SBA FORM 2185	NEW MARKETS VENTURE CAPITAL PROGRAM APPLICATION PART II, EXHIBTS	NMVC App 2185 Part II Exhibits.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 2216	SSBIC INTERVIEW QUESTIONS	NMVC App 2216 NMVCC~SSBIC Interview Questions.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	N/A	SPECIALIZED SMALL BUSINESS INVESTMENT COMPANY (SSBIC) FOR OPERATIONAL ASSISTANCE (OA) GRAT UNDER THE NEW MARKETS VENTURE CAPITAL (NMVC) PROGRAM	NMVC App SSBIC Grant (2).doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 468 SCHEDULE 10	LOW INCOME ENTERPRISE FINANCING IMPACT ASSESEMENT	NMVC SBA Form 468 Schedule 10.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 468 SCHEDULE 9	SOCIAL ECONOMIC OR COMMUNITY ECNOMIC DEVELOPMENT IMPACT ASSESSMENT	NMVC SBA Form 468 Schedule 9.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 468 SCHEDULE 11	LOW-INCOME INVESTMENTS	NMVC SBA Form 468 Schedule 11.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 2208	NMVCC APPLICATION (SBA FORMS 2184 AND 2185)	NMVC SBA Form 2208 NMVC App Amendment.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 2210	INSTRUCTIONS FOR NMVC DEBENTURE DRAW APPLICATION	NMVC SBA Form 2210 Instructions.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 2217	REQUEST FOR SBA APPROVAL OF MANAGEMENT SERVICES FEES AND OTHER FEES	NMVC SBA Form 2217 Request for SBA Approval.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SF-269	FINANCIAL STATUS REPORT	NMVC SF269.pdf	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SF-270	REQUEST FOR ADVANCE OR REIMBURSEMENT	NMVC SF270.pdf	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 480	SIZE STATUS DECLARATION	NMVC SBA480.pdf	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 34	INSTRUCTIONS FOR BANK IDENTIFICATION FORM (SBA FORM 34) (FUNDING NET PROCEEDS)	NMVC SBA Form 34.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	BA FORM 2219	OPERATIONAL ASSISTANCE (OA) GRANT PERFORMACE REPORT	NMVC Abandonment-Destruction Request1.doc	http://www.sba.gov/aboutsba/sba/programs/inv/nmvc/INC_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 1031	PORTFOLIO FINANCING REPORT	NMVC SBA 1031.pdf	http://www.sba.gov/aboutsba/sbaprograms/inv/nmvc/INV_NMVC_FORMS.html	Yes	Yes	Fillable Printable
Form and Instruction	SBA FORM 468.1	CORPORATE SBIC'S	NMVC 468.pdf	HTTP://WWW.SBA.GOV/ABOUTSBA/SBAPROGRAMS/INV/NMVC/inv_NMVC_FORMS.html	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 354	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 67 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,151	0	1,151
Annual IC Time Burden (Hours)	14,012	0	14,012
Annual IC Cost Burden (Dollars)	4,550,999	1,821,999	2,729,000

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.