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Financial Statement of Debtor
Financial Statement of Debtor
OMB: 3245-0012
IC ID: 35588
OMB.report
SBA
OMB 3245-0012
ICR 202406-3245-007
IC 35588
( )
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 6-28-2024.docx
www.sba.gov
Form and Instruction
SBA Form 770 FINANCIAL STATEMENT OF DEBTOR
3245-0012 SBA Form 770 6-28-2024.docx
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 6-28-2024.docx
www.sba.gov
Yes
Yes
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
80 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
-2,000
0
0
7,000
Annual IC Time Burden (Hours)
5,000
0
-2,000
0
0
7,000
Annual IC Cost Burden (Dollars)
237,500
0
-49,220
0
0
286,720
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.