OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201807-3245-001 · OMB 3245-0118 · 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 SBA Form 856 Supporting Statement 7-31-18.docx Supporting Statement A Uploaded 2018-07-31 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 201807-3245-001
Active 201505-3245-003
SBA
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
Revision of a currently approved collection   No
Regular
Approved without change 11/14/2018
Retrieve Notice of Action (NOA) 07/31/2018
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2018
571 0 598
393 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
  83 FR 4113 03/30/2018
83 FR 35526 07/26/2018
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 571 598 0 -27 0 0
Annual Time Burden (Hours) 393 276 0 117 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Additionally, the burden hours for preparing responses have been increased by 0.5 hours per response to account for the additional information required for the management consulting services
$0
No
    No
    No
No
No
No
Uncollected
Michael Donadieu 202 205-7281 [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.
07/31/2018