Counselor's Case Report

ICR 199612-3245-001

OMB: 3245-0243

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
35741 Migrated
ICR Details
3245-0243 199612-3245-001
Historical Active 199310-3245-010
SBA
Counselor's Case Report
Extension without change of a currently approved collection   No
Regular
Approved without change 02/11/1997
Retrieve Notice of Action (NOA) 12/20/1996
  Inventory as of this Action Requested Previously Approved
02/29/2000 02/29/2000 02/28/1997
300,000 0 900,000
60,000 0 90,000
0 0 0

The SBA-641A is used, in conjunction with the form 641, to signify the conclusion of a counseling engagement with a particular SBA client.

None
None


No

1
IC Title Form No. Form Name
Counselor's Case Report 641A

  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 300,000 900,000 0 0 -600,000 0
Annual Time Burden (Hours) 60,000 90,000 0 0 -30,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/20/1996


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