Information Collection

Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees

IC 279717 under ICR 202603-3245-008 · OMB 3245-0118.

Documents and Forms

Document Name Document Type
Form SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction
Form SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees Form and Instruction
SBA Form 856A DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES 3245-0118 SBA Form 856A.docx Form and Instruction
SBA Form 856 DISCLOSURE STATEMENT LEVERAGED LICENSEES SBA Form 856 FINAL.docx Form and Instruction
3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3.16.26.docx CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disclosure Statement - Leveraged Licensees; Disclosure Statement Non-leveraged Licensees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 13 CFR 107.690 13 CFR 107.691 13 CFR 107.692 13 CFR 107.620

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 856A	DISCLOSURE STATEMENT NON-LEVERAGED LICENSEES	3245-0118 SBA Form 856A.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SBA Form 856	DISCLOSURE STATEMENT LEVERAGED LICENSEES	SBA Form 856 FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 323	Number of Respondents for Small Entity: 291

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	323	323
Annual IC Time Burden (Hours)	307	307
Annual IC Cost Burden (Dollars)	52,778	52,778

Documents for IC

Title	Document	Date Uploaded
CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION	3245-0118 CORRESPONDING STATUTORY AND REGULATORY PROVISIONS INFORMATION COLLECTION 3.16.26.docx	03/31/2026

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

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