Personal Financial Statement

ICR 201108-3245-002

OMB: 3245-0188

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2011-08-30
Supporting Statement A
2011-08-30
IC Document Collections
IC ID
Document
Title
Status
35715 Modified
ICR Details
3245-0188 201108-3245-002
Historical Active 200805-3245-001
SBA
Personal Financial Statement
Revision of a currently approved collection   No
Regular
Approved with change 09/29/2011
Retrieve Notice of Action (NOA) 08/30/2011
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved 09/30/2011
44,588 0 91,937
66,882 0 137,095
0 0 0

For SBA Financial assistance programs, information regarding the assets and liabilities of certain owners, officers and guarantors of the small business applicant benefiting from such assistance is used when analyzing the applicant's repayment abilities or creditworthiness. The information is also collected from applicants and participants in SBA's 8a/BD program to determine whether they meet the economic disadvantage requirements of the program.

None
None

Not associated with rulemaking

  76 FR 6508 02/04/2011
76 FR 52730 08/23/2011
No

1
IC Title Form No. Form Name
Personal Financial Statement 413 Personal Financial Statement

  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 44,588 91,937 0 -47,349 0 0
Annual Time Burden (Hours) 66,882 137,095 0 -70,213 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The hour burden has been decreased to reflect the increased use of other expedited processes that do not require this form.

$0
No
No
No
No
No
Uncollected
Sandra Johnston 202 205-7528 [email protected]

  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.
08/30/2011


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