REQUEST FOR COUNSELING

ICR 199206-3245-003

OMB: 3245-0091

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
160103 Migrated
ICR Details
3245-0091 199206-3245-003
Historical Active 199010-3245-001
SBA
REQUEST FOR COUNSELING
Revision of a currently approved collection   No
Regular
Approved without change 09/04/1992
Retrieve Notice of Action (NOA) 06/09/1992
  Inventory as of this Action Requested Previously Approved
07/31/1995 07/31/1995 11/30/1993
500,000 0 450,000
83,000 0 54,000
0 0 0

THIS FORM IS USED BY INDIVIDUALS INTERESTED IN OBTAINING MANAGEMENT COUNSELING FROM SBA. IT ALSO SERVES AS A WAIVER OF SBA LIABILITY FOR CLAIMS ARISING OUT OF THE ASSISTANCE GIVEN.

None
None


No

1
IC Title Form No. Form Name
REQUEST FOR COUNSELING SBA 641

  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 500,000 450,000 0 37,586 12,414 0
Annual Time Burden (Hours) 83,000 54,000 0 21,800 7,200 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.
06/09/1992


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