View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3245-0080	ICR Reference No: 202602-3245-004
Status: Active	Previous ICR Reference No: 202301-3245-001
Agency/Subagency: SBA	Agency Tracking No:
Title: Statement of Personal History
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: 04/27/2026
	Date Received in OIRA: 02/25/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2029	36 Months From Approved	04/30/2026
Responses	146	0	150
Time Burden (Hours)	73	0	75
Cost Burden (Dollars)	2,959	0	2,040

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	146	150	-4
Annual Time Burden (Hours)	73	75	-2
Annual Cost Burden (Dollars)	2,959	2,040	919

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: With this submission, the burden hours remain relatively the same. The increase in cost of labor over the three-year renewal period caused a $919 increase in Annual Cost Burden.

Annual Cost to Federal Government: $2,959

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. Yes

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: Linda Reilly 202 205-9949 reilly.linda@sba.gov

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