Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)

Forms and Documents

Document Name	Status
Form SBA Form 1405A Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction	Modified
Form 1405 REGS 10-25-10.pdf Supplementary Document	2010-10-25
SBA Form 1405 Supporting Statement 10-25-10.doc Supporting Statement A	2010-10-25

IC Document Collections

IC ID	Document Title	Status
35704	Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership) Form and Instruction	Modified

ICR Details

OMB Control No: 3245-0172	ICR Reference No: 201010-3245-005
Status: Historical Active	Previous ICR Reference No: 200708-3245-002
Agency/Subagency: SBA	Agency Tracking No:
Title: Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)
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: 12/21/2010
	Date Received in OIRA: 10/25/2010
Terms of Clearance: SBA should provide easy to understand "Send To" information on all information collections.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	36 Months From Approved	12/31/2010
Responses	500	0	600
Time Burden (Hours)	500	0	600
Cost Burden (Dollars)	0	0	0

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Abstract: SBA Forms 1405 and 1405A are used by Small Business Administration (SBA) examiners as part of their examination of licensed small business investment companies (SBICs). This information collection provides independent third party confirmation of an SBIC's representations concerning its owners, and helps SBA to evaluate the SBIC's compliance with applicable laws and regulations concerning capital requirements.

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Authorizing Statute(s): US Code: 15 USC Section 687b Name of Law: Small Business Investment Act
  

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:
	75 FR 20870	04/21/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 47035	08/04/2010
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
Stockholders' Confirmation (Corporation); Ownership Confirmation (Partnership)	SBA Form 1405A , SBA FORM 1405	Ownership Confirmation for Partnership SBIC's ,   Stockholders Confirmation for Corporate SBIC

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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	500	600	0	-100	0	0
Annual Time Burden (Hours)	500	600	0	-100	0	0
Annual Cost Burden (Dollars)	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The adjustment indicated in items 13 reflects the decreased number of SBIC'S which has resulted in fewer SBIC examination being performed.

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Annual Cost to Federal Government: $0

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? No

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? 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: 10/25/2010

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