View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3245-0012	ICR Reference No: 202406-3245-007
Status: Active	Previous ICR Reference No: 202104-3245-004
Agency/Subagency: SBA	Agency Tracking No:
Title: Financial Statement of Debtor
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/25/2024
	Date Received in OIRA: 06/28/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved	09/30/2024
Responses	5,000	0	7,000
Time Burden (Hours)	5,000	0	7,000
Cost Burden (Dollars)	237,500	0	286,720

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,000	7,000	-2,000
Annual Time Burden (Hours)	5,000	7,000	-2,000
Annual Cost Burden (Dollars)	237,500	286,720	-49,220

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Due to changes within the program.

Annual Cost to Federal Government: $118,850

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: Adrienne Grierson 202 205-6573 adrienne.grierson@sba.gov

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