Information Collection

License Application, Amendment To License Application, Personal History, And Qualifications Of Management

IC 177516 under ICR 198201-3245-011 · OMB 3245-0062.

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Information Collection (IC) Details

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IC Title:	LICENSE APPLICATION, AMENDMENT TO LICENSE APPLICATION, PERSONAL HISTORY, AND QUALIFICATIONS OF MANAGEMENT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SBA 415,	No	No
Form	415A,	No	No
Form	415B,	No	No
Form	415C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 435	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	870	870
Annual IC Time Burden (Hours)	652	652
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.