Information Collection

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

IC 35613 under ICR 201008-3245-001 · OMB 3245-0062.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0062 can be found here:

Documents and Forms

Document Name Document Type
Form SBA FORM 2181 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form and Instruction
SBA FORM 2181 SBIC MANAGEMENT ASSESSMENT QUESTIONNAIRE AND LICENSE APP SBIC Assesment SBA Form 2181.doc www.sba.gov/INV Form and Instruction
SBA FORM 2182 Small Business Investment Company Licence Application SBIC Assesment SBA Form 2182 7-10.doc www.sba.gov/INV Form and Instruction
SBA FORM 2183 Small Business Investment Company Management Assessment SBIC Assesment SBA Form 2183 7-10.doc www.sba.gov/INV Form and Instruction
EXHIBIT F1 ASSESSM ASSESSMENT INSTRUCTIONS SBIC Assesment Exhibit F1 7-10.xlsx Form and Instruction
EXHIBIT F2 ASSESSM ASSESSMENT INSTRUCTIONS SBIC Assesment Exhibit F2 7-10.xlsx Form and Instruction
EXHIBIT F3 ASSESSM ASSESSMENT INTRUCTIONS SBIC Assesment Exhibit F3 7-10.xlsx Form and Instruction
EXHIBIT F INSTRUCTIONS SBIC Assesment Exhibit F Instructions 7-10.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 107.410

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 2181	SBIC MANAGEMENT ASSESSMENT QUESTIONNAIRE AND LICENSE APPLICATION	SBIC Assesment SBA Form 2181.doc	www.sba.gov/INV	Yes	Yes	Paper Only
Form and Instruction	SBA FORM 2182	Small Business Investment Company Licence Application	SBIC Assesment SBA Form 2182 7-10.doc	www.sba.gov/INV	Yes	Yes	Paper Only
Form and Instruction	SBA FORM 2183	Small Business Investment Company Management Assessment Questionnaire	SBIC Assesment SBA Form 2183 7-10.doc	www.sba.gov/INV	Yes	Yes	Paper Only
Form and Instruction	EXHIBIT F1 ASSESSMENT	ASSESSMENT INSTRUCTIONS	SBIC Assesment Exhibit F1 7-10.xlsx		No		Paper Only
Form and Instruction	EXHIBIT F2 ASSESSMENT	ASSESSMENT INSTRUCTIONS	SBIC Assesment Exhibit F2 7-10.xlsx		No		Paper Only
Form and Instruction	EXHIBIT F3 ASSESSMENT	ASSESSMENT INTRUCTIONS	SBIC Assesment Exhibit F3 7-10.xlsx		No		Paper Only
Form and Instruction	EXHIBIT F	INSTRUCTIONS	SBIC Assesment Exhibit F Instructions 7-10.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	425	170	255
Annual IC Time Burden (Hours)	7,167	2,867	4,300
Annual IC Cost Burden (Dollars)	2,675,000	1,070,000	1,605,000

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.