OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202204-3245-002 · OMB 3245-0118 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SBA Form 856 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction Modified Repair queued
Form SBA FORM 856 Disclosure Statement Lveraged Licensees Form and Instruction Unchanged Repair queued
3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3-23-2022.docx Supplementary Document Uploaded 2022-04-05 Repair queued
3245-0118 SBA Form 856~856A PRA Renewal Suppl Stmt FINAL 3-23-2022.docx Supporting Statement A Uploaded 2022-04-05 Missing upstream
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 202204-3245-002
Received in OIRA 201807-3245-001
SBA
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
Reinstatement without change of a previously approved collection   No
Regular 04/05/2022
  Requested Previously Approved
36 Months From Approved
571 0
390 0
6,935 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
  86 FR 26597 05/14/2021
87 FR 18052 03/29/2022
No
  Total Request 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 0 0 0 0 571
Annual Time Burden (Hours) 390 0 0 -3 0 393
Annual Cost Burden (Dollars) 6,935 0 0 6,935 0 0
No
Yes
Miscellaneous Actions
Burden decrease is due to program change.
$23,985
No
    No
    No
No
No
No
No
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.
04/05/2022