Information Collection

Financial Statement of Debtor

IC 35588 under ICR 202104-3245-004 · OMB 3245-0012.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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 updated 2021 (2) 4-14-2021.pdf www.sba.gov	Form and Instruction
SBA Form 770 Financial Statement of Debtor 3245-0012 SBA Form 770 updated 2021 (2) 4-14-2021.pdf www.sba.gov	Form and Instruction

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:

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 770	Financial Statement of Debtor	3245-0012 SBA Form 770 updated 2021 (2) 4-14-2021.pdf	www.sba.gov	Yes	Yes	Fillable Fileable

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: 7,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,000	2,000	5,000
Annual IC Time Burden (Hours)	7,000	2,000	5,000
Annual IC Cost Burden (Dollars)	286,720	286,720	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.