OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Financing Eligibility Statement for Usage of Energy Saving Debenture

ICR 201204-3245-005 · OMB 3245-0379 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SBA FORM 2428 Energy Saving Qualified Investment Form and Instruction New Available
SBA FORM 2428 ESQI 4-19-12.pdf Supplementary Document Uploaded 2012-04-19 Available
SBA FORM 2428 Supporting Statement 4-19-12.docx Supporting Statement A Uploaded 2012-04-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
202003 Energy Saving Qualified Investment Form and Instruction New
ICR Details
3245-0379 201204-3245-005
Historical Active
SBA
Financing Eligibility Statement for Usage of Energy Saving Debenture
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/01/2012
Retrieve Notice of Action (NOA) 04/19/2012
  Inventory as of this Action Requested Previously Approved
08/31/2015 36 Months From Approved
5 0 0
50 0 0
0 0 0
Small Business Investment Companies will use this form to request a determination of eligibility for SBA leverage in form of a defferred interest "energy saving debenture" which can be used only to make an "Energy Saving Qualified Investment" Eligilibility is based on whether the Small Business to be financed with leverage proceeds "primarily engaged" in Energy Savings Activities as defined in the SBIC program regulations.
PL: Pub.L. 110 - 140 1205 Name of Law: The Energy Indepedment and Security Act 2007
  
None
3245-AF86 Final or interim final rulemaking 77 FR 23373 04/19/2012
No
  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 5 0 0 5 0 0
Annual Time Burden (Hours) 50 0 0 50 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
New Collection
No
No
No
No
No
Uncollected
Carol Fendler 202 205-7559
  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.
04/19/2012