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⚠️ Notice: This information collection may be referencing outdated material.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 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

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 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 %

	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

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.