Information Collection

Statement Of Personal History (for Use By Small Business Lending Companies And Other Non-bank Lenders, Including Certified Development Companies)

IC 160071 under ICR 199302-3245-002 · OMB 3245-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

STATEMENT OF PERSONAL HISTORY (FOR USE BY SMALL BUSINESS LENDING COMPANIES AND OTHER NON-BANK LENDERS, INCLUDING CERTIFIED DEVELOPMENT COMPANIES)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SBA 1081				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.