Self-Monitoring Questionnaire for Insurance and Finance Projects

ICR 200411-3420-002

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 200411-3420-002
Historical Active 200405-3420-003
OPIC
Self-Monitoring Questionnaire for Insurance and Finance Projects
Revision of a currently approved collection   No
Regular
Approved without change 01/19/2005
Retrieve Notice of Action (NOA) 11/23/2004
  Inventory as of this Action Requested Previously Approved
01/31/2008 01/31/2008 07/31/2007
300 0 230
2,550 0 1,955
0 0 0

The questionnaire is completed annually to provide info that allows OPIC to better assess the effects that OPIC-assisted projects will have on the U.S. economy & employment and host country developmental impact.

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 300 230 0 0 70 0
Annual Time Burden (Hours) 2,550 1,955 0 0 595 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.
11/23/2004


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