Financial Statement of Debtor

ICR 201412-3245-002

OMB: 3245-0012

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2014-12-17
Supporting Statement A
2014-12-17
IC Document Collections
IC ID
Document
Title
Status
35588 Modified
ICR Details
3245-0012 201412-3245-002
Historical Active 201111-3245-006
SBA
Financial Statement of Debtor
Revision of a currently approved collection   No
Regular
Approved without change 01/09/2015
Retrieve Notice of Action (NOA) 12/17/2014
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved 02/28/2015
5,000 0 5,000
5,000 0 5,000
0 0 0

Small Business Administration collects the information on form 770 from borrowers or guarantors seeking to compromise debts owed to the Agency. SBA uses this information to assess the debtor's financial condition when making decisions regarding a compromise settlement, or other liquidation proceeding, including litigation by the Agency and/or the Department of Justice.

None
None

Not associated with rulemaking

  79 FR 49827 08/22/2014
79 FR 75225 12/17/2014
No

1
IC Title Form No. Form Name
Financial Statement of Debtor SBA Form 770 Financial Statement of Debtor

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 5,000 5,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
12/17/2014


© 2024 OMB.report | Privacy Policy