View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3245-0188	ICR Reference No: 202111-3245-002
Status: Historical Active	Previous ICR Reference No: 202103-3245-013
Agency/Subagency: SBA	Agency Tracking No:
Title: Personal Financial Statement
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/2022
	Date Received in OIRA: 11/22/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	05/31/2024	05/31/2024
Responses	241,934	0	241,934
Time Burden (Hours)	361,640	0	361,640
Cost Burden (Dollars)	9,760,319	0	9,760,319

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	241,934	241,934
Annual Time Burden (Hours)	361,640	361,640
Annual Cost Burden (Dollars)	9,760,319	9,760,319

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $1,366,420

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Mary Frias 202 401-8234 mary.frias@sba.gov

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