25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance

Forms and Documents

Document Name	Status
Form SBA Form 25 PCGP 25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance Form and Instruction	Modified
3245-0081 Small Business Investment Act Section 3-01-2021.pdf Supplementary Document	2021-03-03
3245-0081 Small Business Investment Act Section 303(b) 3-01-2021.pdf Supplementary Document	2021-03-03
3245-0081Small Business Investment Act Section 3-01-2021.pdf Supplementary Document	2021-03-03
3245-0081 Supporting Statement 03-01-2021.docx Supporting Statement A	2021-03-03

IC Document Collections

IC ID	Document Title	Status
200165	25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance Form and Instruction	Modified

ICR Details

OMB Control No: 3245-0081	ICR Reference No: 202103-3245-003
Status: Received in OIRA	Previous ICR Reference No: 201803-3245-001
Agency/Subagency: SBA	Agency Tracking No:
Title: 25-Model Corp. Resol. or GP Certif., 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appl. Lic. Assure. of Compliance
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/03/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2021
Responses	60	70
Time Burden (Hours)	41	47
Cost Burden (Dollars)	1,160	0

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Abstract: Applicants for SBA-guaranteed commitment must complete these forms as part of the application process. SBA uses the information to make informed and proper credit decisions and to establish the SBIC's eligibility for leverage and need for funds.

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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:
	85 FR 73124	11/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 12510	03/03/2021
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
25-Model Corp.. Resol, or GP Certif, 33-Model Letter to Selling Agent, 34-Bank ID, 1065-Appli.Lic. Assur. of Compliance	SBA Form 25 PCGP , SBA Form 25 LLGP , SBA Form 33, SBA Form 25 PC, SBA Form 34 Bank ID	Corporate Partner Certificate ,   Limited Liability General Partner Resolution for SBA Commitment CERTIFICATE ,   Instructions for the Authorization to Disburse Proceeds (SBA Form 33) ,   Corporate Resolution for SBA Commitment ,   Instructions for Bank Identification Form (SBA Form 34) (Funding Net Proceeds)

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ICR Summary of Burden

	Total Request	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	60	70	0	-10	0	0
Annual Time Burden (Hours)	41	47	0	-6	0	0
Annual Cost Burden (Dollars)	1,160	0	0	1,160	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 number of SBIC commitment applications is 60 per year. This is less than the number reported in the prior submission, which was 70 per year. The change was made to more closely reflect the average number of actual commitment applications received annually over the last five years. As a result, the total annual cost burden decreased to $1,160.22 from $1,119.00 in the prior submission, and the number of annual hours requested decreased to 41 from the current OMB inventory of 47 hours.

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Annual Cost to Federal Government: $1,145

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.     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? No

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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: 03/03/2021

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