View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 13 CFR 107.410

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA Form 2181			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 Pre-Screen			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Long Form			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC Subsequent Fund			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC Exhibit A			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit B			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 MAQ Exhibit C			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit D			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit E			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit F			www.sba.gov/inv	Yes	Yes	Paper Only
Form	SBA Form 2181 SBIC MAQ Exhibit G			www.sba.gov/inv	Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: Small Business Investment Company Information System (SBA SBICIS 40)	FR Citation: 90 FR 41467

Number of Respondents: 325	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	325	0	50	0	0	275
Annual IC Time Burden (Hours)	21,749	0	3,999	0	0	17,750
Annual IC Cost Burden (Dollars)	9,228,291	0	2,726,218	0	0	6,502,073

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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