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

Forms and Documents

Document Name	Status
Form 2181 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form	Modified
SBA-2181-2182-2183_Sopporting statementt.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
35613	SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form	Modified

ICR Details

OMB Control No: 3245-0062	ICR Reference No: 200704-3245-002
Status: Historical Active	Previous ICR Reference No: 200402-3245-003
Agency/Subagency: SBA	Agency Tracking No:
Title: SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessment Questionnaire
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/26/2007
	Date Received in OIRA: 04/10/2007
Terms of Clearance: The agency must ensure that it accurately provides information to ROCIS with respect to the changes in burden. In addition, the agency should consider separating this collection into multiple information collections.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved	07/31/2007
Responses	255	0	680
Time Burden (Hours)	4,300	0	10,880
Cost Burden (Dollars)	1,605,000	0	4,280,000

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Abstract: SBA Forms 2181, 2182 and 2183 provide SBA with the necessary information to make informed and proper 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, as amended.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 216	11/08/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 67	04/09/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	2181, 2182, 2183	SBIC MANAGEMENT ASSESSMENT QUESTIONNAIRE/SBIC LICENSE APPLICATION PART 1 ,   PART II EXHIBITS TO SMALL BUSINESS INVESTMENT COMPANY LICENSE APPLICATION ,   PART III EXHIBITSS TO SMALL BUSINESS INVESTMET COMPANY MANAGEMENT ASSESSMENT QUESTIONNAIRE

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ICR Summary of Burden

	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	255	680	0	0	-425	0
Annual Time Burden (Hours)	4,300	10,880	0	0	-6,580	0
Annual Cost Burden (Dollars)	1,605,000	4,280,000	0	0	-2,675,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Annual hour burden and annual cost burden have decreased because the estimated number of respondents has been reduced to reflect the fact that SBA is currently licensing only debenture and non-leveraged SBICS.

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Annual Cost to Federal Government: $2,240,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/10/2007

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