SBA Counseling Evaluation

Documents and Forms

Document Name Document Type
Form SBA Form 1419 SBA Counseling Evaluation Form
SBA Form 1419 SBA Counseling Evaluation SBA Form 1419.pdf www.sba.gov/library/forms Form
Statements required by law 1419.doc SBA COUNSELING EVALUATION IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SBA Counseling Evaluation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SBA Form 1419	SBA Counseling Evaluation	SBA Form 1419.pdf	www.sba.gov/library/forms	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: Entrepreneurial Developement Management Information System-SBA 11	FR Citation: 69 FR 58598

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	2,550	2,550
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SBA COUNSELING EVALUATION	Statements required by law 1419.doc	08/10/2006

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