OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)

ICR 201311-3245-001 · OMB 3245-0172 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SBA Form 1405 Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction Modified Available
OMB 3245-0172 Regulations Corresponding 11-5-13.docx Supplementary Document Uploaded 2013-11-05 Repair queued
OMB 3245-0172 Supporting Statement 11-5-13.doc Supporting Statement A Uploaded 2013-11-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
35704 Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction Modified
ICR Details
3245-0172 201311-3245-001
Historical Active 201010-3245-005
SBA
Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)
Revision of a currently approved collection   No
Regular
Approved without change 12/12/2013
Retrieve Notice of Action (NOA) 11/05/2013
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved 12/31/2013
600 0 500
600 0 500
0 0 0
SBA Forms 1405 and 1405A are used by Small Business Administration (SBA) examiners as part of their examination of licensed small business investment companies (SBICs). This information is collected from SBIC'S Stockholders and partners and provides independent third party confirmation of an SBIC's representations concerning its owners. The information helps SBA to evaluate the SBIC'S with applicable laws and regulations concerning capital requirements.
None
None
Not associated with rulemaking
  78 FR 42583 07/16/2013
78 FR 65744 11/01/2013
No
1
IC Title Form No. Form Name
Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) SBA Form 1405A, SBA Form 1405 Stockholders Confirmation (Corporation) ,   Ownership Confirmation (Partnership)
  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 600 500 0 100 0 0
Annual Time Burden (Hours) 600 500 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Changes in burden estimates reflect the anticipated number of respondents based upon the current size of the SBIC program.
$0
No
No
No
No
No
Uncollected
Louis Cupp 2026190511 [email protected]
  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.
11/05/2013