3245-0012 SBA form 770 Supporting Statement

3245-0012 SBA form 770 Supporting Statement.pdf

Financial Statement of Debtor

OMB: 3245-0012

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SUPPORTING STATEMENT FOR SBA FORM 770
OMB Approval No. 3245-0012
A. Justification
There are no changes to the substantive elements of this form ; however SBA has made minor clarifying
revisions to the instructions and made the format easier to use.
I. Circumstances necessitating the collection of information.
Explain the circumstances that make the collection of information necessary. Identify any legal
or administrative requirements that necessitate the collection. Attach a copy of the appropriate
section of each statute and regulation mandating or authorizing the collection of information.
The Small Business Administration has authority under section 5(b) of the Small Business Act, 15
U.S.C. 634(b) as well as 31 U.S.C. 3711 to effect compromise settlements with debtors. When SBA
receives a request for compromise from a borrower, full and fair consideration must be given to each
request for adjustment or modification of loan terms and conditions. Information on the borrower's
financial condition is necessary in making a determination regarding the compromise of claims and
other liquidation proceedings including litigation by the Agency or the Department of Justice. The
Form 770, Financial Statement of Debtor, is used to provide this information.
2. How. by whom and for what purpose information will be used.
Indicate how, by whom, and for what purpose the information is to be used. Except for a new
collection, indicate the actual use the agency has made of the information received from the
current collection.
The information on the SBA Form 770 is used by SBA loan officers in their review of loans and
associated obligors. The information is a prerequisite to a compromise settlement between the debtor
and SBA. SBA uses the information to evaluate the debtor's financial capacity to repay the debt owed
to the Agency and determine to what extent the Agency may compromise the debt, maximize recovery,
and protect the interests of the Agency.
3. Technological collection techniques.
Describe whether, and to what extent, the collection of information involves the use of
automated, electronic, mechanical, or other technological collection techniques or other forms of
information technology, e.g. permitting electronic submission of responses, and the basis for the
decision for adopting this means of collection. Also describe any consideration of using
information technology to reduce the burden.
SBA form 770 is available to the public in electronic form , on SBA' s website at
"http://www.sba.gov/for-lenders", SBA currently collects 770 forms in a paper or electronic form.
4. Avoidance of duplication.
Describe efforts to identify duplication. Show specifically why any similar information already
available cannot be used or modified for use for the purposes described in item 2 above.
Although SBA collects financial information on the debtors at loan inception, the purpose of Form 770
is to collect financial information that reflects the debtor's financial condition at the time of a
compromise or other liquidation action. There is no other form available that duplicates the current
updated data as requested through Form 770.

5. Impact on small businesses or other small entities.
If the collection of information impacts small businesses or other small entities (Item 5 of OMB
Form 83-1), describe any methods used to minimize burden.
The collection of this information does not have a significant economic impact on a substantial number
of small businesses or other small entities, as the businesses and individuals submitting this document
are generally part of a failed and closed business.
6. Consequences if collection of information is not conducted.
Describe the consequence to the Federal program or policy activities if the collection is not
conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing
burden.
Eliminating the financial statement on liquidation loans would impair the Agency's ability to evaluate
the financial condition of the debtor and any offers in compromise. Non-collection of the information
would also affect the Agency's ability to determine what legal action to pursue and could result in the
Agency not being able to maximize recovery on debt owed to the Government.
7. Existence of special circumstances.
Explain any special circumstances that would cause an information collection to be conducted in
a manner, etc.
No special circumstances apply. The SBA Form 770 is only required on occasion, such as, when a
borrower or guarantor requests a compromise, or in other liquidation situations.
8. Solicitation of public comments.
If applicable, provide a copy and identify the date and page number of publication in the Federal
Register of the agency's notice, required by 5 CFR 1320.8(d), soliciting comments on the
information collection prior to submission to OMB. Summarize public comments received.
Describe efforts to consult with persons outside the agency to obtain their views on the
availability of data, frequency of collection, the clarity of instructions and recordkeeping,
disclosure, or reporting format (if any), and on the data elements to be recorded, disclosed, or
reported.
The Federal Register Notice for comments was published on August 22, 2014, at Volume 79, FR
49827. The comment period expired October 21 , 2014. No comments were received.
9. Payment or gifts.
Explain any decision to provide any payment or gift to respondents, other than re-enumeration
of contractors or grantees.
Not applicable. There were no payments or gifts to respondents.
10.

Assurance of confidentiality.
Describe any assurance of confidentiality provided to respondents and the basis for the
assurance in statute, regulation, or agency policy.
Information obtained from individuals is protected by the Privacy Act to the extent permitted by law.

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II. Questions of a sensitive nature.
Provide additional justification for any questions of a sensitive nature, such as sexual behavior
and attitudes, religious beliefs, and other matters that are commonly considered private. This
justification should include the reasons why the agency considers the questions necessary, the
specific uses to be made of the information, the explanation to be given to persons from whom
the information is requested, and any steps to be taken to obtain their consent.
This form requests a social security number in blocks 5 and II. Information on respondents rights
under the Privacy Act (5 U.S.C. §552a) has been included in a section just above the signature block.
The social security number is not mandatory but it is a unique identifier that is helpful in distinguishing
the debtor from other individuals that may have the same or similar name or other personal identifier
and will assist SBA in verifying the information submitted. The number also facilitates critical credit
determinations during the liquidation phase. We also note that this information is covered by a Privacy
Act System of Records, Loan System -21 [74 FR 14890, April! , 2009], as amended on October 9,
2012 at 77 RF 61467 and on March 16, 2012 at 77 FR 15830.
12. Estimates of hourly burden of the collection of information.
Provide estimates of the hour burden of the collection of information. Indicate the number of
respondents, frequency of response, annual hour burden, and an explanation of how the burden
was estimated.
The following are estimates of the hour burdens with the frequency consisting of one submission per
respondent:
5,000 respondents x 60 min. = 5,000
Annual Hour Burden:
5,000
Annual Cost:
The annualized cost to respondents is approximately:
$41.28/hour x 5,000 respondents = $206,400
(SBA estimates that the information in this form is collected and compiled by a person with an average
salary equivalent to a financial analyst at a grade of a GS-12, averaged at approximately $41.28 per
hour).
13.

Estimate of total annual cost burden for submission.
Provide an estimate for the total annual cost burden to respondents or record keepers resulting
from the collection of information.
There are no start-up costs to the respondents.

14.

Estimated annualized costs to the Federal government.
Provide estimates of annualized costs to the Federal Government. Also provide a description of
the method used to estimate cost, which should include quantification of hours, operational
expenses (such as equipment, overhead, printing, and support stafl), and any other expense that
would not have been incurred without this collection of information.
The following are estimated annual cost to the Federal Government:
Annual Cost: $103,200
Review time= 30 minutes

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Cost per hour, SBA personnel= $41.28
(1 /2 of$41.28 = $20.64 per Y, hour)
Cost = $20.64 x 5,000 = $103,200
This cost is based on the number of cases transferred to liquidation and the hour rate is based on that of
a liquidation loan specialist with an average grade of GS-1 2 at $4 1.28 an hour.
15.

Explanation of program changes in Items 13 or 14 on Form 83-1.
Explain reasons for any program changes or adjustments reported in Items 13 or 14 of the OMB
Form 83-l.
There are no changes or adjustments.

16.

Collection of information whose results will be published.
For collection of information whose results will be published, outline plans for tabulation and
publication. Address complex analytical techniques. Provide time schedules for the entire
project.
Not applicable. The results of this collection of information will not be published ..

17.

Expiration date for collection of information.
If seeking approval to not display the expiration date for OMB approval of the information

collection, explain the reasons why the display would be inappropriate.
Not applicable.
18.

Exceptions to certifications in Block 19 on OMB form 83-1.
Explain each exception to the certification statement identified in Item 19, "Certification for
Paperwork Reduction Act Submission," of OMB Form 83-l.
Not applicable.

B. Collection oflnformation Employing Statistical Methods
Describe (including a numerical estimate) the potential respondent universe and any sampling or
other respondent selection method to be used.
This collection of information does not employ statistical usage.

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