Statement of Personal History

ICR 200309-3245-003

OMB: 3245-0080

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
35634 Migrated
ICR Details
3245-0080 200309-3245-003
Historical Active 200309-3245-001
SBA
Statement of Personal History
Reinstatement with change of a previously approved collection   No
Emergency 09/30/2003
Approved without change 09/28/2003
Retrieve Notice of Action (NOA) 09/23/2003
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004
200 0 0
100 0 0
0 0 0

SBA regulations require that we determine that a participating Certified Development Company's Non-Bank Lending Institutions, or Microlender's management, ownership, etc. is of "good character". To do so requires the information requested on the Form 1081. This form also provides data used to determine the qualifications and capabilities of the lenders key personnel.

None
None


No

1
IC Title Form No. Form Name
Statement of Personal History 1081

  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 200 0 0 200 0 0
Annual Time Burden (Hours) 100 0 0 100 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.
09/23/2003


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