Information Collection

Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage

IC 35752 under ICR 200709-3245-001 · OMB 3245-0301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0301 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA FORM 1941A Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage	Form
SBA FORM 1941A FINANCING ELIGIBILITY STATEMENT SBA FORM 1941A.doc	Form
SBA FORM 1941B LICENSE CERTIFICATION SBA FORM 1941B.doc	Form
SBA FORM 1941C FINANCING ELIGIBILTY STATEMENT - ECONOMIC DISADVANTAGE SBA FORM 1941C.doc	Form

IC Title:

Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Available Electronically?	Electronic Capability
Form	SBA FORM 1941A	FINANCING ELIGIBILITY STATEMENT	SBA FORM 1941A.doc	No	Fillable Printable
Form	SBA FORM 1941B	LICENSE CERTIFICATION	SBA FORM 1941B.doc	No	Fillable Printable
Form	SBA FORM 1941C	FINANCING ELIGIBILTY STATEMENT - ECONOMIC DISADVANTAGE	SBA FORM 1941C.doc	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	80	-110	190
Annual IC Time Burden (Hours)	160	-220	380
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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