OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Financing Eligibility Statement for Usage of Energy Saving Debenture

ICR 201507-3245-002 · OMB 3245-0379 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Small Business Inv Energy Saving Qualified Investment Form and Instruction Modified Repair queued
3245-0379 SBA FORM 2428 Supporting Statement 7-7-15.docx Supporting Statement A Uploaded 2015-07-08 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
202003 Energy Saving Qualified Investment Form and Instruction Modified
ICR Details
3245-0379 201507-3245-002
Historical Active 201204-3245-005
SBA
Financing Eligibility Statement for Usage of Energy Saving Debenture
Revision of a currently approved collection   No
Regular
Approved without change 08/07/2015
Retrieve Notice of Action (NOA) 07/08/2015
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved 08/31/2015
5 0 5
50 0 50
0 0 0
Small Business Administration Form 2428 is used by Small Business Investment Companies (SBICs) requesting a determination of eligibility for SBA leverage in form of a deferred interest "Energy Saving Debenture" to be used only in making an "Energy Saving Qualified Investment".Eligibility is based on whether a Small Business to be financed with leverage proceeds is "primarily engaged" in Energy Savings Activities as defined in the SBIC program regulations. An SBIC must provide supporting evidence of Small Business eligibility, and the Small Business must certify the information is true and correct.
None
None
Not associated with rulemaking
  80 FR 14430 03/19/2015
80 FR 38795 07/07/2015
No
1
IC Title Form No. Form Name
Energy Saving Qualified Investment Small Business Investment Company Financing Eligib SBA Form 2428
  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 5 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
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.
07/08/2015