Statement of Personal History

OMB 3245-0178

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 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2022-10-25
Approved without change
 Revision of a currently approved collection 2019-05-29
Approved without change
 Revision of a currently approved collection 2016-04-06
Approved with change
 Revision of a currently approved collection 2013-02-20
Approved with change
 Revision of a currently approved collection 2009-12-18
Approved without change
 Extension without change of a currently approved collection 2006-09-29
Approved without change
 Revision of a currently approved collection 2003-06-17
Approved without change
 Revision of a currently approved collection 2000-06-28
Approved without change
 Reinstatement without change of a previously approved collection 1997-05-14
Approved without change
 Revision of a currently approved collection 1993-12-06
Approved without change
 Revision of a currently approved collection 1993-04-16
Approved without change
 Revision of a currently approved collection 1990-03-21
Approved without change
 Extension without change of a currently approved collection 1987-03-26
Approved with change
 No material or nonsubstantive change to a currently approved collection 1984-08-01
Approved without change
 New collection (Request for a new OMB Control Number) 1984-01-03
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