Information Collection Request
Statement of Personal History
ICR 202210-3245-001 · OMB 3245-0178 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3245-0178 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SBA Form 912 Statement of Personal History |
Form and Instruction | Modified | Repair queued |
 3245-0178 Regulations Pertinent Statutes 10-25-2022.docx |
Supplementary Document | Uploaded 2022-10-25 | Repair queued |
| 3245-0178 -- Supporting Statement sba form 912 10-25-2022.docx |
Supporting Statement A | Uploaded 2022-10-25 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 35707 |  Statement of Personal History |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SBA |
| OMB Control No | 3245-0178 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201905-3245-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |