Information Collection Request

SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessment Questionnaire

ICR 202602-3245-005 · OMB 3245-0062 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SBA Form 2181 Exhi SBIC MAQ Exhibit Transferors Liability Contract Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit Transferors Liability Contract Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit F Capital Certificate Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit F Capital Certificate Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit E Legal Document Certification Form Modified Repair queued
Form SBA Form 2181 Exhi SBIC MAQ Exhibit E Legal Document Certification Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit D Individual Legal Questionnaire Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit D Individual Legal Questionnaire Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit C Significant Investor Declarations Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit C Significant Investor Declarations Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit B Individual Declarations Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit B Individual Declarations Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit A Activities Relationship Certification Form Modified Available
Form SBA Form 2181 Exhi SBIC MAQ Exhibit A Activities Relationship Certification Form Modified Available
Form SBA Form 2181 SBIC Subsequent Fund MAQ Form Modified Available
Form SBA Form 2181 SBIC Subsequent Fund MAQ Form Modified Available
Form SBA Form 2181 SBIC MAQ Form Modified Available
Form SBA Form 2181 SBIC MAQ Form Modified Available
Form SBA Form 2181 Pre-Screen SBIC MAQ Short Form Form Modified Available
Form SBA Form 2181 Pre-Screen SBIC MAQ Short Form Form Modified Available
3245-0062 SBA Form 2181 Corresponding Stat~Regs.docx Supplementary Document Uploaded 2026-02-26 Available
3245-0062 SBA Form 2181 Corresponding Stat~Regs.docx Supplementary Document Uploaded 2026-02-26 Available
SBA ICR 3245-0062 MAQ Supporting Statement 4.17.26 Clean.docx Supporting Statement A Uploaded 2026-04-22 Repair queued
3245-0062 MAQ Supporting Statement FINAL 2-23-26.docx Supporting Statement A Uploaded 2026-02-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit Transferors Liability Contract
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit Transferors Liability Contract
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit F Capital Certificate
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit F Capital Certificate
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit E Legal Document Certification
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit E Legal Document Certification
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit D Individual Legal Questionnaire
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit D Individual Legal Questionnaire
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit C Significant Investor Declarations
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit C Significant Investor Declarations
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit B Individual Declarations
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit B Individual Declarations
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit A Activities Relationship Certification
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ Exhibit A Activities Relationship Certification
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC Subsequent Fund MAQ
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC Subsequent Fund MAQ
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedSBIC MAQ
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedPre-Screen SBIC MAQ Short Form
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form ModifiedPre-Screen SBIC MAQ Short Form
35613 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Instruction Modified
ICR Details
3245-0062 202602-3245-005
Active 202509-3245-001
SBA
SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessment Questionnaire
Revision of a currently approved collection   No
Regular
Approved with change 04/22/2026
Retrieve Notice of Action (NOA) 02/26/2026
  Inventory as of this Action Requested Previously Approved
04/30/2029 36 Months From Approved 04/30/2026
325 0 325
21,749 0 21,749
9,228,290 0 9,228,291

SBA Forms 2181 and exhibits provide SBA with the necessary information to make decisions regarding the approval or denial of an applicant for a small business investment company (SBIC) license. SBA uses this information to assess an applicant's ability to successfully operate an SBIC within the scope of the Small Business Investment Act of 1958, as amended.

None
None

Not associated with rulemaking

  90 FR 44138 09/11/2025
91 FR 9671 02/26/2026
Yes

  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 325 325 0 0 0 0
Annual Time Burden (Hours) 21,749 21,749 0 0 0 0
Annual Cost Burden (Dollars) 9,228,290 9,228,291 0 -1 0 0
No
No

$2,060,892
No
    Yes
    Yes
No
No
No
No
Paul Van Eyl 202 257-5955 [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.
02/26/2026