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Statement of Personal History
Statement of Personal History
OMB: 3245-0080
IC ID: 35635
OMB.report
SBA
OMB 3245-0080
ICR 202602-3245-004
IC 35635
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement of Personal History
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
Form 1081
Statement of Personal History
Form 1081 - Statement of Personal History (FINAL 2-13-26).docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
SBA 21 – Loan System
FR Citation:
86 FR 23026
Number of Respondents:
146
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
146
0
0
-4
0
150
Annual IC Time Burden (Hours)
73
0
0
-2
0
75
Annual IC Cost Burden (Dollars)
2,959
0
0
919
0
2,040
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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