Information Collection

Disclosure Statement Lveraged Licensees

IC 202552 under ICR 202603-3245-008 · OMB 3245-0118.

Documents and Forms

Document Name Document Type
Form SBA FORM 856 Disclosure Statement Leveraged Licensees; Dislosure Statement Non-Leveraged Licensees Disclosure Statement Lveraged Licensees Form and Instruction
Form SBA FORM 856A Disclosure Statement NON-Leveraged Licesees Disclosure Statement Lveraged Licensees Form and Instruction
SBA FORM 856 Disclosure Statement Leveraged Licensees; Dislosure Stat 3245-0118 SBA Form 856 6-12.doc www.sba.gov Form and Instruction
SBA FORM 856A Disclosure Statement NON-Leveraged Licesees 3245-0118 SBA Form 856A 6-12.doc www.sba.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disclosure Statement Lveraged Licensees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

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 856	Disclosure Statement Leveraged Licensees; Dislosure Statement Non-Leveraged Licensees	3245-0118 SBA Form 856 6-12.doc	www.sba.gov	No		Paper Only
Form and Instruction	SBA FORM 856A	Disclosure Statement NON-Leveraged Licesees	3245-0118 SBA Form 856A 6-12.doc	www.sba.gov	No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 300

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-300	300
Annual IC Time Burden (Hours)	-138	138
Annual IC Cost Burden (Dollars)	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.

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