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Federal forms, ICRs, and supporting documents

Information Collection Request

DEBT COLLECTION ACTIVITIES AND FINANCIAL STATEMENT OF DEBTOR

ICR 198407-3245-008 · OMB 3245-0012 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
159879 DEBT COLLECTION ACTIVITIES AND FINANCIAL STATEMENT OF DEBTOR Form Migrated
ICR Details
3245-0012 198407-3245-008
Historical Active 198207-3245-005
SBA
DEBT COLLECTION ACTIVITIES AND FINANCIAL STATEMENT OF DEBTOR
Revision of a currently approved collection   No
Regular
Approved without change 10/09/1984
Retrieve Notice of Action (NOA) 07/16/1984
Form should be revised to include Privacy Act Statement and Paperwork Act Statement.
  Inventory as of this Action Requested Previously Approved
10/31/1987 10/31/1987 07/31/1984
782,000 0 3,400
782,000 0 1,700
0 0 0
THE SBA FORM 770 IS A REPORT OF THE DEBTOR'S INCOME AND ASSETS, REAL AND PERSONAL, WHICH IS USED TO EVALUATE THE FINANCIAL CONDITION OF THE INDIVIDUAL. THE SOLE OBJECTIVE OF THE DEBT COLLECTION ACTIVITIES IS T OBTAIN IMMEDIATE REPAYMENT OF AMOUNTS DUE THE U.S. GOVERNMENT OR TO ARRIVE AT A SATISFACTORY ARRANGEMENT FOR SUCH REPAYMENT IN THE FUTURE.
None
None
No
1
IC Title Form No. Form Name
DEBT COLLECTION ACTIVITIES AND FINANCIAL STATEMENT OF DEBTOR SBA-770
  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 782,000 3,400 0 0 778,600 0
Annual Time Burden (Hours) 782,000 1,700 0 0 780,300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/16/1984