CLIENT VERIFICATION AND EVALUATION SHEET

ICR 198702-3245-010

OMB: 3245-0226

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
160448 Migrated
ICR Details
3245-0226 198702-3245-010
Historical Active
SBA
CLIENT VERIFICATION AND EVALUATION SHEET
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/04/1987
Retrieve Notice of Action (NOA) 02/19/1987
APPROVED WITH CONDITIONS. THIS REQUEST IS APPROVED THROUGH OCTOBER 31, 1988. SINCE THERE ARE SEVERAL SIMILAR INDIVIDUAL ASSISTANCE PROGRAMS, THE SBA SHOULD EXAMINE THE FEASIBILITY OF A STANDARD FORM TO EVALUATE THE ASSISTANCE PROVIDED. SBA SHOULD PROVIDE OMB WITH THE RESULTS OF THE EXAMINATION NOT LATER THAN MAY 1, 1988. IN ADDITION, THE SBA SHOUL CONSIDER THE USEFULNESS OF HAVING ONE FORM TO MONITOR AND EVALUATE THI program.
  Inventory as of this Action Requested Previously Approved
10/31/1988 10/31/1988
5,000 0 0
1,667 0 0
0 0 0

FORM TO BE COMPLETED BY RECIPIENTS OF MANAGEMENT AND TECHNICAL ASSISTANCE FOR FIRMS UNDER THE 7(J) MANAGEMENT AND TECHNICAL ASSISTANC PROGRAM. DATA WILL BE USED TO EVALUATE SERVICES PROVIDED AND TO IDENTIFY SIGNIFICANT ISSUES AND PROBLEMS DEVELOPED AS A RESULT OF ASSISTANCE.

None
None


No

1
IC Title Form No. Form Name
CLIENT VERIFICATION AND EVALUATION SHEET SBA 1538

  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 1,667 0 0 1,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/19/1987


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