OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees

ICR 201505-3245-003 · OMB 3245-0118 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SBA Form 856 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction Modified Available
Form SBA FORM 856 Disclosure Statement Lveraged Licensees Form and Instruction Unchanged Available
3245-0118 PRA Renewal Suppl Stmt (Final) 5-20-15.docx Supporting Statement A Uploaded 2015-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
35671 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction Modified
202552 Disclosure Statement Lveraged Licensees Form and Instruction Unchanged
ICR Details
3245-0118 201505-3245-003
Historical Active 201206-3245-001
SBA
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
Extension without change of a currently approved collection   No
Regular
Approved without change 07/08/2015
Retrieve Notice of Action (NOA) 05/20/2015
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved 07/31/2015
598 0 600
276 0 276
0 0 0
Small Business Administration (SBA) Forms 856 and 856A are used by SBA examiners as part of their examination of licensed small business investment companies (SBICs). This information collection obtains representations from an SBIC's management regarding certain obligations, transactions and relationships of the SBIC and helps SBA to evaluate the SBIC's financial condition and compliance with applicable laws and regulations.
None
None
Not associated with rulemaking
  80 FR 10202 02/15/2011
80 FR 29143 05/20/2015
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 598 600 0 -2 0 0
Annual Time Burden (Hours) 276 276 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
05/20/2015