Information Collection

Financial Statement of Debtor

IC 35588 under ICR 202406-3245-007 · OMB 3245-0012.

Documents and Forms

Document Name Document Type
Form SBA Form 770 Financial Statement of Debtor Form and Instruction
SBA Form 770 FINANCIAL STATEMENT OF DEBTOR 3245-0012 SBA Form 770 6-28-2024.docx www.sba.gov Form and Instruction
SBA Form 770 FINANCIAL STATEMENT OF DEBTOR 3245-0012 SBA Form 770 6-28-2024.docx www.sba.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Statement of Debtor	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 770	FINANCIAL STATEMENT OF DEBTOR	3245-0012 SBA Form 770 6-28-2024.docx	www.sba.gov	Yes	Yes	Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title: Revision of Privacy Act System of Records	FR Citation: 69 FR 58598

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	-2,000	7,000
Annual IC Time Burden (Hours)	5,000	-2,000	7,000
Annual IC Cost Burden (Dollars)	237,500	-49,220	286,720

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.