Information Collection

25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance

IC 35639 under ICR 201111-3245-001 · OMB 3245-0081.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0081 can be found here:

Documents and Forms

Document Name Document Type
Form 25 PIGP 25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance Form
25 PIGP Individual General Partner Certificate for SBA Commitmen 3245-0081 SBA Form 25-PIGP.doc www.sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form
33 Model Letter to Selling Agent (Form and Instructions) 3245-0081 SBA Form 33.doc sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form and Instruction
34 Bank Identification Form for Disbursement of Licensee's 3245-0081 SBA Form 34 Bank ID.doc sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form and Instruction
1065 Applicant Licensee's Assurance of Compliance 3245-0081 SBA Form 1065.doc sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form
25 PC Corporate Resolution for SBA Commitment 3245-0081 SBA Form 25.doc sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form
25 PCGP Model - Corporate General Partner Resolution for SBA Com 3245-0081 SBA Form 25- PCGP.doc sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	25 PIGP	Individual General Partner Certificate for SBA Commitment	3245-0081 SBA Form 25-PIGP.doc	http://www.sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable
Form and Instruction	33	Model Letter to Selling Agent (Form and Instructions)	3245-0081 SBA Form 33.doc	sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable
Form and Instruction	34	Bank Identification Form for Disbursement of Licensee's Amount of Net Proceeds	3245-0081 SBA Form 34 Bank ID.doc	sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable
Form	1065	Applicant Licensee's Assurance of Compliance	3245-0081 SBA Form 1065.doc	sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable
Form	25 PC	Corporate Resolution for SBA Commitment	3245-0081 SBA Form 25.doc	sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable
Form	25 PCGP	Model - Corporate General Partner Resolution for SBA Commitment	3245-0081 SBA Form 25- PCGP.doc	sba.gov/aboutsba/sbaprograms/inv/forsbic/SBIC_APP_DEB_COMMITMENT.html	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-48	48
Annual IC Time Burden (Hours)	-43	43
Annual IC Cost Burden (Dollars)	-720	720

Documents for IC

Title	Document	Date Uploaded
No associated records found

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