Information Collection

Settlement Sheet

IC 186934 under ICR 201811-3245-002 · OMB 3245-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0200 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA Form 1050 Settlement Sheet	Form and Instruction
SBA Form 1050 Settlement Sheet 3245-0200 Form 1050 with Instructions 11-27-18.pdf www.sba.gov/lender-documentation-tool	Form and Instruction

IC Title:

Settlement Sheet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 120.520-524

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 1050	Settlement Sheet	3245-0200 Form 1050 with Instructions 11-27-18.pdf	https://www.sba.gov/lender-documentation-tool	Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,224

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	28,224	0	28,224
Annual IC Time Burden (Hours)	14,112	9,312	4,800
Annual IC Cost Burden (Dollars)	0	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.