Personal Financial Statement

Forms and Documents

Document Name	Status
Form SBA Form 413 7(a) Personal Financial Statement Form and Instruction	Modified
Reg. 15 USC 631 9-30-14.pdf Supplementary Document	2014-09-30
Reg. 13 CFR PART 123 9-30-14.docx Supplementary Document	2014-09-30
Reg. 13 CFR 124 1002 9-30-2014.pdf Supplementary Document	2014-09-30
Reg. 13 CFR 124 112 9-30-14.pdf Supplementary Document	2014-09-30
Reg. 13 CFR 124 104 9-30-14.pdf Supplementary Document	2014-09-30
Reg. 13 CFR 120 191 9-30-14.pdf Supplementary Document	2014-09-30
3245-0188 Supporting Statement - Form 413 (FINAL 9-30-14).docx Supporting Statement A	2014-09-30
Re. 13 CFR Part 127 203 9-30-14.docx Supplementary Document	2014-09-30

IC Document Collections

IC ID	Document Title	Status
35715	Personal Financial Statement Form and Instruction	Modified

ICR Details

OMB Control No: 3245-0188	ICR Reference No: 201409-3245-002
Status: Historical Active	Previous ICR Reference No: 201108-3245-002
Agency/Subagency: SBA	Agency Tracking No:
Title: Personal Financial Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/08/2015
	Date Received in OIRA: 09/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved	01/31/2015
Responses	371,108	0	44,588
Time Burden (Hours)	391,812	0	66,882
Cost Burden (Dollars)	0	0	0

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Abstract: The regulations for SBA's business loans and disaster loan programs require loan guarantors and individual owners of the small business applicant to submit information on their assets and liabilities to help determine applicant's creditworthiness and repayment ability. For the 8(a) Business Development (BD), Small Disadvantaged Business (SDB), and Women-Owned Small Business (WOSB) programs SBA collects the information from applicants and participants in those programs to determine whether they meet the economic disadvantage requirements to participate in these programs.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 21988	04/18/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 58400	09/29/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Personal Financial Statement	SBA Form 413 7(a) 504/SBG, SBA Form 413 8(a) Business Development Program, SBA Form 413 Disaster Programs, SBA Form 413 WOSB	Personal Financial Statement 7(a) 504 Loans/Surety Bonds ,   Personal Financial Statement 8(a) Business Development Program ,   Personal Financial Statement Disaster Programs ,   Personal Financial Statement Women Owned Small Business (WOSB) Program

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ICR Summary of Burden

	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	371,108	44,588	0	326,520	0	0
Annual Time Burden (Hours)	391,812	66,882	0	324,930	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden reflects in part the actual use of the form by applicants to the WOSB program.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/30/2014

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