View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3245-0178	ICR Reference No: 202512-3245-003
Status: Active	Previous ICR Reference No: 202210-3245-001
Agency/Subagency: SBA	Agency Tracking No:
Title: Statement of Personal History
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/16/2026
	Date Received in OIRA: 12/15/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2029	36 Months From Approved	01/31/2026
Responses	10,000	0	142,000
Time Burden (Hours)	2,500	0	35,500
Cost Burden (Dollars)	75,000	0	284,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	10,000	142,000	-132,000
Annual Time Burden (Hours)	2,500	35,500	-33,000
Annual Cost Burden (Dollars)	75,000	284,000	-209,000

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: $0

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. Yes

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: Jill Ellis 817 393-2735

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