Information Collection

Statement of Personal History

IC 35635 under ICR 201609-3245-005 · OMB 3245-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0080 can be found here:

Documents and Forms

Document Name Document Type
Form SBA Form 1081 Statement of Personal History Form and Instruction
SBA Form 1081 Statement of Personal History 3245-0080 FORM 1081 (FINAL) 9-29-16.pdf www.sba.gov/banking Form and Instruction

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	SBA Form 1081	Statement of Personal History	3245-0080 FORM 1081 (FINAL) 9-29-16.pdf	www.sba.gov/banking	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 151	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	151	-64	215
Annual IC Time Burden (Hours)	76	-32	108
Annual IC Cost Burden (Dollars)	0	0	0

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.