Financial Statement of Debtor

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0012 can be found here:

Documents and Forms

Document Name Document Type
Form SBA Form 770 Financial Statement of Debtor Form and Instruction
SBA Form 770 Financial Statement of Debtor 3245-0012 SBA Form 770 1-30-18.pdf www.sba.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Statement of Debtor	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA Form 770	Financial Statement of Debtor	3245-0012 SBA Form 770 1-30-18.pdf	www.sba.gov	Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Revision of Privacy Act System of Records	FR Citation: 69 FR 58598

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	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.