Personal Financial Statement

Forms and Documents

Document Name	Status
Form SBA Form (7a) Personal Financial Statement Form and Instruction	Modified
3245-0188 13 CFR 127 203 Regulation (WOSB) 1-31-18.pdf Supplementary Document	2018-01-31
3245-0188 13 CFR 124 104 Regulation (Economic Disadvantage) 1-31-18.pdf Supplementary Document	2018-01-31
3245-0188 13 CFR 123 6 Regulation (Disaster).pdf Supplementary Document	2018-01-31
3245-0188 13 CFR 124 112 Regulation (8a Criteria) 1-31-18.pdf Supplementary Document	2018-01-31
3245-0188 Supporting Statement - Form 413_1-31-18.docx Supporting Statement A	2018-01-31

IC Document Collections

IC ID	Document Title	Status
35715	Personal Financial Statement Form and Instruction	Modified

ICR Details

OMB Control No: 3245-0188	ICR Reference No: 201801-3245-003
Status: Active	Previous ICR Reference No: 201409-3245-002
Agency/Subagency: SBA	Agency Tracking No:
Title: Personal Financial Statement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/15/2018
	Date Received in OIRA: 01/31/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	251,934	0	371,108
Time Burden (Hours)	344,174	0	391,812
Cost Burden (Dollars)	0	0	0

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Abstract: The regulations for SBA's business loans and disaster loan programs require loan guarantors and individual owners of the small business applicant to submit information on their assets and liabilities to help determine applicant's creditworthiness and repayment ability. For the 8(a) Business Development (BD), Small Disadvantaged Business (SDB), and Women-Owned Small Business (WOSB) programs SBA collects the information from applicants and participants in those programs to determine whether they meet the economic disadvantage requirements to participate in these programs.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 37158	08/08/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 47865	01/09/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Personal Financial Statement	SBA Form (7a), SBA Form 413 D , SBA Form (WOSB), SBA Form 413 (8a)	Personal Financial Statement 7(a) 504 Loans ,   Personal Financial Statement ,   Personal Financial Statement (Disaster) ,   Personal Financial Statement (WOSB)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	251,934	371,108	0	-119,174	0	0
Annual Time Burden (Hours)	344,174	391,812	0	-47,638	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: The decrease in the hour burden for respondents, as well as the hour burden and combined cost for the Agency is due to recent data indicating fewer respondents in all of the programs.

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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.     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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/31/2018

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