Information Collection

Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees

IC 279717 under ICR 202603-3245-008 · OMB 3245-0118.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees	Form and Instruction
Form SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees	Form and Instruction
SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES 3245-0118 SBA Form 856A.docx	Form and Instruction
SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES SBA Form 856 FINAL.docx	Form and Instruction
3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3.16.26.docx CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 107.690 13 CFR 107.691 13 CFR 107.692 13 CFR 107.620

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 856A				Yes	Yes	Fillable Fileable
Form and Instruction	SBA Form 856				Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 323

Number of Respondents for Small Entity: 291

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	323	323
Annual IC Time Burden (Hours)	307	307
Annual IC Cost Burden (Dollars)	52,778	52,778

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION		03/31/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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