Information Collection

Disclosure Statement Lveraged Licensees

IC 202552 under ICR 201807-3245-001 · OMB 3245-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	138	138
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.