Information Collection

Financing Eligibility Statement - Social Disadvantage/Economic Disadvantage

IC 35752 under ICR 201312-3245-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
SBA Form 1941A Financing Eligibility Statement - Social Disadvantage Fo PRA 3245-0301 SBA FORM 1941A 12-17-13.docx	Form and Instruction
SBA Form 1941 B Financing Eligibility Statement Social Disadvantage for PRA 3245-0301 SBA Form 1941B 12-17-13.docx	Form and Instruction
SBA Form 1941 C Financing Eligibility Statement - Economic Disadvantage PRA 3245-0301 SBA Form 1941C 12-17-13.docx	Form and Instruction

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 and Instruction	SBA Form 1941A	Financing Eligibility Statement - Social Disadvantage For individuals who are members	PRA 3245-0301 SBA FORM 1941A 12-17-13.docx	No	Paper Only
Form and Instruction	SBA Form 1941 B	Financing Eligibility Statement Social Disadvantage for individuals who are not members	PRA 3245-0301 SBA Form 1941B 12-17-13.docx	No	Paper Only
Form and Instruction	SBA Form 1941 C	Financing Eligibility Statement - Economic Disadvantage	PRA 3245-0301 SBA Form 1941C 12-17-13.docx	No	Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.