3245-0178 2016 Supporting Statement 5-22-19

3245-0178 2016 Supporting Statement 5-22-19.docx

Statement of Personal History

OMB: 3245-0178

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Supporting Statement for Requests for OMB Approval

Under the Paperwork Reduction Act and 5 C.F.R. § 1320

SBA Form 912, Statement of Personal History


  1. Justification


  1. Circumstances necessitating the collection of information. The Small Business Administration (SBA) requires an individual seeking assistance on behalf of a business to provide sufficient information for SBA to make a character or criminal history determination. In making guaranteed loans under Section 7(a) of the Small Business Act (“the Act”), 15 U.S.C. § 636(a), SBA is specifically authorized to verify an individual’s criminal history, or lack thereof, under section 7(a)(1)(B). 15 U.S.C. § 636(a)(1)(B). SBA is also authorized to make all investigations necessary to ensure that a person has not engaged in acts that violate, or will violate, the Act or the Small Business Investment Act. 15 U.S.C. §§ 634(b)(11), and 687b(a) respectively.


SBA has promulgated regulations through notice and comment rulemaking based upon the above authorities, identifying good character as an element of credit worthiness and eligibility for assistance from, or in participation with, SBA. The Agency makes this character determination based upon information developed from the responses given by applicants on SBA Form 912. The regulations for making character determinations are found in Title 13 of the Code of Federal Regulations at Sections 115.18(c) (Surety Bond Guarantee Program), 120.110(n), 120.150(a) (Business Loan Programs), and 124.203 (Section 8(a) Business Development Program). These regulations are further explained in SBA Standard Operating Procedures (SOP) SOP 50 10 5(H), Subpart B, Chapter 2, Paragraph III.D.3.n) iv, (7(a) Loan Program) and Subpart C, Chapter 2, Paragraph III.D.3.n) iv. (Certified Development Company Loan Program), 50 45, Chapter 4(3)(a)(1) (Surety Bond Program), and 80 05 3, Chapter 2A(12) (Section 8(a) Business Development Program). SBA also uses Form 912 in its Disaster Loan Program. See, SOP 50 30 6, at Paragraph 74.


SBA is not proposing any changes to SBA Form 912, as it currently collects the information most pertinent to SBA’s character determination duties.


  1. How, by whom, and for what purpose the information will be used. SBA uses the information collected on SBA Form 912 in connection with character reviews of applicants for SBA financial assistance or other SBA program participation. When an applicant, or individual affiliated with a company applying for SBA assistance, indicates that he or she has a criminal record that SBA determines may affect program eligibility, the Agency requests the criminal history of the applicant from the Federal Bureau of Investigation (FBI). The FBI then conducts a check of its criminal history databases and advises SBA of any unfavorable information. In such cases, Block 10 of SBA Form 912 functions as a waiver of rights under the Privacy Act with respect to the requested information, allowing SBA to obtain information from the FBI.


  1. Technological collection techniques. The current version of the form is available for download through SBA’s website at http://www.sba.gov/sites/default/files/tools_sbf_finasst912.pdf. SBA’s online form is a fill-able PDF, which the respondent must print, sign and submit to the SBA. As SBA further modernizes its systems, the Agency may move toward a fully electronic process.


  1. Avoidance of duplication. With the exception of the 7(a) Loan Program and the Disaster Loan Program, SBA programs identified in paragraph A.1 only duplicate a request for basic identification information in questions 1 through 4 and 6. The 7(a) Loan Program and Disaster Program loan applications request screening information regarding past criminal involvement to determine whether a full Form 912 is required.


  1. Impact on small businesses or other small entities. This information collection impacts small businesses; however, it is designed to minimize the burden on respondents:


  1. It calls only for basic identification information and a “yes” or “no” response to no more than five questions.

  2. It requests follow-up information only if the respondent answers “yes” to one or more of the three criminal history questions or “no” to the U.S. citizen question.

  3. It consolidates functions, combining on one page the information gathering and the authorization for SBA to obtain information from the FBI.


Finally, the burden imposed by SBA Form 912 is offset by the fact that completion is voluntary. Only respondents seeking a loan or other benefit from SBA need to complete it.


6. Consequences if collection of information is not conducted. Failing to collect the information requested on SBA Form 912 would increase SBA’s risk of making loans and providing benefits to persons of poor character and persons that are prohibited by law from receiving SBA assistance.


Eliminating the form would cause both practical and legal problems. The FBI would not provide the criminal background information needed without a substitute form. Even if this problem could be overcome in some manner, in the absence of an admission of a criminal history by applicants for SBA assistance, SBA would have to request criminal history information on all applicants and program participants, even where such issues are not of concern. This alternative has been rejected in the past as impractical due to excessive burden, and as unduly intrusive into individuals’ privacy.


7. Existence of special circumstances. The form requests what is generally considered “confidential” information regarding an arrest record and criminal history; however, respondents are assured that information collected is protected from disclosure to the extent permitted by law. There are no other “special circumstances” of the sort mentioned in the Instructions for this questionnaire.


8. Solicitation of Public Comment. On February 12, 2019, SBA published a 60 day notice and request for comments at 84 FR 3526 The comment period closed on April 15, 2019; no comments were received.


9. Payment or gifts. Respondents do not receive payments or gifts for providing information on SBA Form 912.


10. Assurances of confidentiality. The standard protections of the Privacy Act of 1974 apply to the use of the information obtained, but SBA offers respondents no other specific assurances of confidentiality.


11. Questions of a sensitive nature. SBA Form 912 includes several personal identifiers such as social security number, name, date of birth and place of birth. This collection of information also contains questions of a sensitive or confidential nature, specifically, information about criminal history. The form explains that disclosure of an individual’s social security number is voluntary. The other personal identifiers are required for a benefit, e.g., a loan. As indicated in the answer to question A.1, the information is needed to make sound decisions about the character of borrowers. Without such information, the Government may guarantee loans to, or do business with, ineligible parties. Privacy Act protections cover the information provided. Only SBA personnel with a need to know, i.e., those involved in the decision-making process are provided access to the information. SBA has instituted procedures to protect confidentiality to the extent permitted by law. Only summary, aggregate data, not individual information, are provided in public reports. When the information collected indicates a violation or potential violation of law, whether civil, criminal, or administrative in nature, SBA may refer it to the appropriate agency, whether Federal, State, local, or foreign, charged with responsibility for or otherwise involved in investigation, prosecution, enforcement or prevention of such violations. See 74 Fed. Reg. 14890 (April 1, 2009) for other published routine uses.


12. Estimate of the hourly burden of the collection of information. the Agency is retaining its figures from previous Paperwork Reduction Act submissions as a conservative burden estimate. Form 912 takes approximately 15 minutes to complete. The form is normally submitted only once by each applicant for loan assistance or program participation. Therefore, we estimate that the burden imposed on the public by use of SBA Form 912 is 35,500 hours per year. (142,000 responses x ¼ hour = 35,500 hours.)


SBA estimates that the average salary of the respondent providing this information is equivalent to a GS-11 loan officer’s salary, which is equivalent to the position normally held by a white-collar employee in a mid-level position and likely to be person responding in most cases. At an average hourly rate of $33.34, the cost to a respondent for completing this form is estimated at $8.33 ($33.34 ÷ ¼ hour = $8.33), or a total annual public cost burden of $295,715.


13. Estimate of total annual cost burden to respondents or record keepers from collection of information. There is no additional cost to respondents.


14. Estimated annualized cost to the Federal government. SBA estimates that based on the current rate of approximately 1,351 FBI fingerprint checks per year, the agency will spend about $31,000 for that activity as a result of this collection of information. Form SBA 912 takes approximately 30 minutes to process and/or review by agency Program Analysts (at an average rate of $40.00) and Supervisory Loan Specialists or other senior level employee (at an average hourly rate of $54) The total estimated annualized cost to the Federal Government is $75,859 ($31,000 payable to the FBI Channeler plus $44,859) in employee salary costs.


15. Explanation of program changes /adjustments in Items 13 or 14 on OMB Form 83-I.

The estimates for items 13 and 14 on Form 83-I are consistent with SBA’s prior submission.


16. Collection of information whose results will be published. Except for aggregated data reflected in various Congressional reports, the results of the information collection will not be published.


17. Expiration date for collection of information. No exception being sought; the expiration date will be displayed.


18. Exceptions to certifications in Block 19 on OMB Form 83-I. Not Applicable.


  1. B. Collection of Information Employing Statistical Methods

This collection of information does not employ statistical methods.

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