Information Collection

SBA Counseling Evaluation

IC 35709 under ICR 200909-3245-001 · OMB 3245-0183.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.