OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Personal History

OMB 3245-0178 ยท SBA.

OMB 3245-0178

SBA collects this information to assess eligibility for participation in its programs. Specifically, SBA uses the information to make a character or criminal history determination about individuals associated with an application for financial assistance or other SBA program benefits.

The latest form for Statement of Personal History expires 2029-01-31 and is listed under ICR 202512-3245-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SBA Form 912 Statement of Personal HistoryForm and Instruction
Form SBA Form 912 Statement of Personal HistoryForm and Instruction
3245-0178 Regulations Pertinent Statutes Dec 2025.docxSupplementary Document
3245-0178 Regulations Pertinent Statutes Dec 2025.docx Supplementary Document
3245-0178 -- Supporting Statement sba form 912 Dec 2025 Updated.docxSupporting Statement A
3245-0178 -- Supporting Statement sba form 912 Dec 2025.docxSupporting Statement A
Statement of Personal History Form and Instruction
Statement of Personal History Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-3245-003 Revision of a currently approved collection 2025-12-15 Approved with change
202210-3245-001 Extension without change of a currently approved collection 2022-10-25 Approved without change
201905-3245-005 Revision of a currently approved collection 2019-05-29 Approved without change
201604-3245-001 Revision of a currently approved collection 2016-04-06 Approved without change
201302-3245-005 Revision of a currently approved collection 2013-02-20 Approved with change
200912-3245-004 Revision of a currently approved collection 2009-12-18 Approved with change
200609-3245-008 Extension without change of a currently approved collection 2006-09-29 Approved without change
200306-3245-001 Revision of a currently approved collection 2003-06-17 Approved without change
200006-3245-004 Revision of a currently approved collection 2000-06-28 Approved without change
199705-3245-001 Reinstatement without change of a previously approved collection 1997-05-14 Approved without change
199312-3245-001 Revision of a currently approved collection 1993-12-06 Approved without change
199304-3245-004 Revision of a currently approved collection 1993-04-16 Approved without change
199003-3245-004 Revision of a currently approved collection 1990-03-21 Approved without change
198703-3245-007 Extension without change of a currently approved collection 1987-03-26 Approved without change
198408-3245-033 No material or nonsubstantive change to a currently approved collection 1984-08-01 Approved with change
198401-3245-013 New collection (Request for a new OMB Control Number) 1984-01-03 Approved without change