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OMB Control No: 3245-0080	ICR Reference No: 202602-3245-004
Status: Received in OIRA	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	Date Submitted to OIRA: 02/25/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2026
Responses	146	150
Time Burden (Hours)	73	75
Cost Burden (Dollars)	2,959	2,040

ICR Summary of Burden

	Total Request	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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