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

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0062 can be found here:

Documents and Forms

Document Name Document Type
Form 2181 SBIC Management Assessment Questionnaire & License Application; Exhibits to SBIC License App./Mgmt. Assessement Questionnaire Form
3245-0062 F1-Template.xls Instruction
3245-0062 F2-Template.xls Instruction
3245-0062 F3-Template.xls Instruction
3245-0062 F4-Template.xls Instruction
3245-0062 F5-Template.xls Instruction
2181 SBIC MANAGEMENT ASSESSMENT QUESTIONNAIRE/SBIC LICENSE AP SBA Form2181 01-04.doc WWW.SBA.GOV/INV Form
2182 PART II EXHIBITS TO SMALL BUSINESS INVESTMENT COMPANY LI SBA Form2182 03-07.doc WWW.SBA.GOV/INV Form
2183 PART III EXHIBITSS TO SMALL BUSINESS INVESTMET COMPANY M SBA Form2183 03-07.doc WWW.SBA.GOV/INV Form

Information Collection (IC) Details

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	2181	SBIC MANAGEMENT ASSESSMENT QUESTIONNAIRE/SBIC LICENSE APPLICATION PART 1	SBA Form2181 01-04.doc	WWW.SBA.GOV/INV	Yes	Yes	Fillable Fileable Signable
Form	2182	PART II EXHIBITS TO SMALL BUSINESS INVESTMENT COMPANY LICENSE APPLICATION	SBA Form2182 03-07.doc	WWW.SBA.GOV/INV	Yes	Yes	Fillable Fileable Signable
Form	2183	PART III EXHIBITSS TO SMALL BUSINESS INVESTMET COMPANY MANAGEMENT ASSESSMENT QUESTIONNAIRE	SBA Form2183 03-07.doc	WWW.SBA.GOV/INV	Yes	Yes	Fillable Fileable Signable
Instruction			3245-0062 F1-Template.xls		No		Paper Only
Instruction			3245-0062 F2-Template.xls		No		Paper Only
Instruction			3245-0062 F3-Template.xls		No		Paper Only
Instruction			3245-0062 F4-Template.xls		No		Paper Only
Instruction			3245-0062 F5-Template.xls		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	255	-425	680
Annual IC Time Burden (Hours)	4,300	-6,580	10,880
Annual IC Cost Burden (Dollars)	1,605,000	-2,675,000	4,280,000

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.