OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201610-3245-001 · OMB 3245-0172 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SB Form 1405 Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction Modified Repair queued
3245-0172 1405-1405A Corresponding Regulations 10-05-16.docx Supplementary Document Uploaded 2016-10-12 Available
3245-0172 1405 Supporting Statement 10-05-16.doc Supporting Statement A Uploaded 2016-10-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
35704 Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction Modified
ICR Details
3245-0172 201610-3245-001
Historical Active 201311-3245-001
SBA
Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)
Revision of a currently approved collection   No
Regular
Approved without change 12/12/2016
Retrieve Notice of Action (NOA) 10/12/2016
  Inventory as of this Action Requested Previously Approved
12/31/2019 36 Months From Approved 12/31/2016
620 0 600
620 0 600
0 0 0
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
  81 FR 38769 06/14/2016
81 FR 68497 10/04/2016
No
1
IC Title Form No. Form Name
Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) SBA Form 1405A , SB Form 1405 Stockholder Confirmation for Corporate ,   Ownership Confirmation for 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 620 600 0 20 0 0
Annual Time Burden (Hours) 620 600 0 20 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
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.
10/12/2016