Personal Financial Statement

ICR 200109-3245-002

OMB: 3245-0188

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
35714 Migrated
ICR Details
3245-0188 200109-3245-002
Historical Active 199708-3245-005
SBA
Personal Financial Statement
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/21/2001
Retrieve Notice of Action (NOA) 09/27/2001
  Inventory as of this Action Requested Previously Approved
11/30/2004 11/30/2004
187,027 0 0
280,608 0 0
0 0 0

This form is used to assist borrowers (20% or greater owners, corporate officers, or loan guarantors) in preparing their total net worth by listing all of their assets and liabilities, including current income.

None
None


No

1
IC Title Form No. Form Name
Personal Financial Statement SBA-FORM-413

  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 187,027 0 0 187,027 0 0
Annual Time Burden (Hours) 280,608 0 0 280,608 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.
09/27/2001


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