Application for Political Risk Investment Insurance

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
35911	Application for Political Risk Investment Insurance Form	Migrated

ICR Details

OMB Control No: 3420-0011	ICR Reference No: 200306-3420-001
Status: Historical Active	Previous ICR Reference No: 200202-3420-001
Agency/Subagency: OPIC	Agency Tracking No:
Title: Application for Political Risk Investment Insurance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/17/2003
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2003
	Date Received in OIRA: 06/03/2003
Terms of Clearance: The agency is again reminded of the existing Terms of Clearance on this collection that require the agency to conduct a complete evaluation of the burden imposed by this collection. The current estimated burden of seven hours per response and no nonlabor costs does not appear to reflect accurately the complete cost of completing this application and submitting it to the agency. The agency is also reminded that it must complete the Form 83-I correctly. No submission requesting emergency processing can be approved for three years. In addition, question 13 was not changed from the previous submission, incorrectly stating that the burden had not changed. The agency is reminded that it must immediately publish a Federal Register notice providing the public 60-days to comment on the submission, as required by 5 CFR 1302.8(d)(1). A request for a full three year clearance may not be submitted until after this comment period and the submission to the Federal Register of a 30-day request for comments, as required by 5 CFR 1320.10(a).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2004	01/31/2004	11/30/2003
Responses	150	0	150
Time Burden (Hours)	1,050	0	975
Cost Burden (Dollars)	0	0	0

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Abstract: The application is the principal document used bu OPIC to determine the investor's and the project's eligibility for political risk insurance, assess the environmental impact and developmental effects of the project, measure the economic effects for the U.S. and host country

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Political Risk Investment Insurance	OPIC-52

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	150	150	0	0	0	0
Annual Time Burden (Hours)	1,050	975	0	75	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2003

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