OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202603-3245-008 · OMB 3245-0118 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES Form and Instruction Removed Available
Form SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES Form and Instruction Removed Available
Form SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES Form and Instruction New Available
Form SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES Form and Instruction New Available
Form SBA FORM 856A Disclosure Statement NON-Leveraged Licesees Form and Instruction Removed Available
Form SBA FORM 856 Disclosure Statement Leveraged Licensees; Dislosure Statement Non-Leveraged Licensees Form and Instruction Removed Source copy available
3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3.16.26.docx Supplementary Document Uploaded 2026-03-31 Repair queued
SBA Form 856~856A PRA Renewal Suppl Stmt 3-20-2026.docx Supporting Statement A Uploaded 2026-03-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
35671 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction RemovedDISCLOSURE STATEMENT NON-LEVERAGED LICENSEES
35671 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction RemovedDISCLOSURE STATEMENT LEVERAGED LICENSEES
35671 Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction Removed
279717 Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction NewDISCLOSURE STATEMENT LEVERAGED LICENSEES
279717 Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction NewDISCLOSURE STATEMENT NON-LEVERAGED LICENSEES
279717 Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction New
202552 Disclosure Statement Lveraged Licensees Form and Instruction RemovedDisclosure Statement NON-Leveraged Licesees
202552 Disclosure Statement Lveraged Licensees Form and Instruction RemovedDisclosure Statement Leveraged Licensees; Dislosure Statement Non-Leveraged Licensees
202552 Disclosure Statement Lveraged Licensees Form and Instruction Removed
ICR Details
3245-0118 202603-3245-008
Received in OIRA 202204-3245-002
SBA
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
Reinstatement without change of a previously approved collection   No
Regular 03/31/2026
  Requested Previously Approved
36 Months From Approved
323 0
307 0
52,778 0
The information in SBA Forms 856 and 856A is collected by the Office of SBIC Examinations in advance of an SBIC’s examination and is used by SBA examiners in all examinations of SBICs as a means of gathering information relevant to the examination.
US Code: 15 USC Section 687b(c)
  
None
Not associated with rulemaking
  90 FR 20201 05/12/2025
91 FR 14899 03/27/2026
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 323 0 0 323 -571 571
Annual Time Burden (Hours) 307 0 0 307 -390 390
Annual Cost Burden (Dollars) 52,778 0 0 52,778 -6,935 6,935
Yes
Miscellaneous Actions
No
Figures have been adjusted to reflect the current estimates for yearly examinations of 254 leveraged examinations plus 69 non-leveraged examinations (total 323 examinations), based upon the expected examination schedule.
$29,700
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.
03/31/2026