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OMB Control No: 3245-0118	ICR Reference No: 202603-3245-008
Status: Received in OIRA	Previous ICR Reference No: 202204-3245-002
Agency/Subagency: SBA	Agency Tracking No:
Title: Disclosure Statement-Leveraged Licensees; Disclosure Statement Non-leveraged Licensees
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/31/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	323	0
Time Burden (Hours)	307	0
Cost Burden (Dollars)	52,778	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	323	323	-571	571
Annual Time Burden (Hours)	307	307	-390	390
Annual Cost Burden (Dollars)	52,778	52,778	-6,935	6,935

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Figures have been adjusted to reflect the current estimates for yearly examinations of 254 leveraged examinations plus 69 non-leveraged examinations (total 323 examinations), based upon the expected examination schedule.

Annual Cost to Federal Government: $29,700

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: Michael Donadieu 202 205-7281 michael.donadieu@sba.gov

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