File Name: Economic-Injury-Disaster-Loan-Supporting-Information-Phase-1-P-019.pdf
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OMB Control Number: 3245-xxxx Expiration Date:U. S. SMALL BUSINESS ADMINISTRATIONECONOMIC INJURY DISASTER LOAN SUPPORTING INFORMATIONThe U.S. Small Business Administration Economic Injury Disaster Loan provides immediate working capital to eligible applicants
For expedited loan application processing, the business must have been operating for at least one year prior to the disaster
Eligibility for this disaster loan must consider compensated from other sources to offset the economic injury. Other sourcesinclude but are not limited to 1. Grants or other reimbursement (including loans) from government agencies or privateorganizations, and 2. Claims for civil liability against other individuals, organizations or governmental entities
The estimated time for you to complete this form, including time to gather information, is 45 minutes. Unless the form displaysa current OMB Control number, you are not required to respond. If you have comments about this request for information,including the time estimate, submit them to Director, Records Management Division, Small Business Administration, 409 ThirdStreet, SW, Washington, DC 20416
Was the business in operation one year prior to the disaster? Yes ____ No ____Gross Revenues for the twelve-month period prior to the disaster: ______________________________________________Cost of goods sold for the twelve-month period prior to the disaster: ______________________________________________Rental properties (residential and commercial) only
Lost rents due to the disaster: ______________________________________________________________________________Compensation from other sources received as a result of the disaster (provide a brief description below):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________SIZE STANDARD*:SBA’s size standards define whether a business concern is small and, therefore, eligible for an Economic Injury Disaster Loan
Is the Applicant Business concern small? Yes ___ No ___I certify all above information provided and the size of the applicant business does not exceed the size standard for theindustry in which the business is primarily engaged
Signature and Title:_____________________________________ Date:_____________________________________*SBA establishes size standards by industry under the North American Industry Classification System (NAICS)(https://www.census.gov/eos/www/naics/). Business size standards, by NAICS code, may be found at 13 CFR 121.201(https://ecfr.io/Title-13/se13.1.121_1201)ODA Form P-019 (03-2020)
Unless the form displays a current OMB Control number, you not are required to respond. If you have comments about this request for information, including the time estimate, submit them to Director, Records Management Division, Small Business Administration, 409 Third ODA Form P-019 (03-2020)
(a) Purpose. This section displays the OMB control numbers and expiration dates for the Commission information collection requirements assigned by the Office of Management and Budget (“OMB”) pursuant to the Paperwork Reduction Act of 1995, Public Law 104-13.
Notwithstanding any other provisions of law, no person shall be subject to any penalty for failing to comply with a collection of information subject to the Paperwork Reduction Act (PRA) that does not display a currently valid OMB control number. The expiration dates shown in this section are accurate as of January 31, 2017.
This section displays the OMB control numbers and expiration dates for the Commission information collection requirements assigned by the Office of Management and Budget (“OMB”) pursuant to the Paperwork Reduction Act of 1995, Public Law 104-13.