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Disclosure Statement Lveraged Licensees
Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
OMB: 3245-0118
IC ID: 202552
OMB.report
SBA
OMB 3245-0118
ICR 201505-3245-003
IC 202552
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0118 can be found here:
2022-04-05 - Reinstatement without change of a previously approved collection
2018-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SBA FORM 856
Disclosure Statement Lveraged Licensees
Form and Instruction
SBA FORM 856 Disclosure Statement Leveraged Licensees; Dislosure Stat
3245-0118 SBA Form 856 6-12.doc
www.sba.gov
Form and Instruction
SBA FORM 856A Disclosure Statement NON-Leveraged Licesees
3245-0118 SBA Form 856A 6-12.doc
www.sba.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disclosure Statement Lveraged Licensees
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SBA FORM 856
Disclosure Statement Leveraged Licensees; Dislosure Statement Non-Leveraged Licensees
3245-0118 SBA Form 856 6-12.doc
www.sba.gov
No
Paper Only
Form and Instruction
SBA FORM 856A
Disclosure Statement NON-Leveraged Licesees
3245-0118 SBA Form 856A 6-12.doc
www.sba.gov
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Community and Regional Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
Number of Respondents for Small Entity:
300
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
300
0
0
0
0
300
Annual IC Time Burden (Hours)
138
0
0
0
0
138
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.