View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
3245-0062
ICR Reference No:
202509-3245-001
Status:
Active
Previous ICR Reference No:
202508-3245-007
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:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
08/28/2025
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/26/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/25/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2026
02/28/2026
02/28/2026
Responses
325
0
325
Time Burden (Hours)
21,749
0
21,749
Cost Burden (Dollars)
9,228,291
0
9,228,291
Abstract:
SBA Forms 2181, 2182 and 2183 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.
Emergency Justfication:
See document titled, “Request for Emergency Processing of an Information Collection, OMB Control No. 3245-0062” under Supplementary Documents.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
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
SBA Form 2181 SBIC Subsequent Fund, SBA Form 2181 , SBA Form 2181 Pre-Screen , SBA Form 2181 SBIC MAQ Long Form , SBA Form 2181 SBIC Exhibit A , SBA Form 2181 SBIC MAQ Exhibit B, SBA Form 2181 MAQ Exhibit C , SBA Form 2181 SBIC MAQ Exhibit D , SBA Form 2181 SBIC MAQ Exhibit E, SBA Form 2181 SBIC MAQ Exhibit F , SBA Form 2181 SBIC MAQ Exhibit G
SBIC Program Application Instructions
,
Pre-Screen SBIC MAQ Short Form
,
SBIC MAQ Long Form
,
SBIC Subsequent Fund MAQ
,
SBIC MAQ Exhibit A Relationship Certification
,
SBIC MAQ Exhibit B Individual Declarations
,
SBIC MAQ Exhibit C Significant Investor Declarations
,
SBIC MAQ Exhibit D Individual Legal Questionnaire
,
SBIC MAQ Exhibit E Legal Document Certification
,
SBIC MAQ Exhibit F Capital Certificate
,
SBIC MAQ Exhibit Transferors Liability Contract
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
325
325
0
0
0
0
Annual Time Burden (Hours)
21,749
21,749
0
0
0
0
Annual Cost Burden (Dollars)
9,228,291
9,228,291
0
0
0
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:
No
Burden Reduction Due to:
Short Statement:
The increase in the total hour burden and annual cost are a result of expanded use of the MAQ for the CTLP program.
Annual Cost to Federal Government:
$705,042
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Paul Van Eyl 202 257-5955 paul.vaneyl@sba.gov
Common Form ICR:
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:
(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:
09/25/2025
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