Self-Monitoring Questionnaire for Insurance and Finance Projects

ICR 200310-3420-001

OMB: 3420-0019

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3420-0019 200310-3420-001
Historical Active 200304-3420-002
OPIC
Self-Monitoring Questionnaire for Insurance and Finance Projects
Revision of a currently approved collection   No
Regular
Approved with change 12/24/2003
Retrieve Notice of Action (NOA) 10/07/2003
OMB notes that the agency failed to publish the appropriate Federal Register notices for this collection and did not conduct the interal reviews required by the PRA, as evidenced by the lack of changes to the supporting statement between this submission and that submitted three years ago. Therefore, this collection is approved on an emergency basis for six months during which time the agency is instructed to conduct the independent internal review required by the PRA and publish the required 60-day and 30-day notices for a full three year clearance.
  Inventory as of this Action Requested Previously Approved
06/30/2004 06/30/2004 01/31/2004
190 0 190
570 0 570
0 0 0

The questionnaire is completed by OPIC-assisted investors annually. The information provided in this questionnaire will allow OPIC to better assess the effects that OPIC-assisted projects have on the U.S. economy and employment, as well as the environment and economic development abroad.

None
None


No

1
IC Title Form No. Form Name
Self-Monitoring Questionnaire for Insurance and Finance Projects 162

  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 190 190 0 0 0 0
Annual Time Burden (Hours) 570 570 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/07/2003


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