Assignment Forms

Forms and Documents

Document Name	Status
Form EIB 92-32 Assignment Forms Form	New
Confidentiality Letter (4-7-99 Version).doc Supplementary Document	2006-09-25
Supporting Statement for Assignment Forms.doc Supporting Statement A	2006-09-25

IC Document Collections

IC ID	Document Title	Status
45350	Assignment Forms Form	New

ICR Details

OMB Control No: 3048-0020	ICR Reference No: 200609-3048-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EXIMBANK	Agency Tracking No:
Title: Assignment Forms
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/28/2006
	Date Received in OIRA: 10/03/2006
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved
Responses	680	0	0
Time Burden (Hours)	113	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The forms are used by exporters to convey legal rights to their financial institution lenders to share insurance policy proceeds from Ex-Im Bank approved insurance claims.

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Authorizing Statute(s): US Code: 12 USC 635 Name of Law: Export-Import Bank Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 119	06/21/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 188	09/28/2006
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
Assignment Forms	EIB 99-17, EIB 92-32, EIB 92-53, EIB 92-31	Notification by Insured of Amounts Payable under Single Buyer Export Credit Insurance Policy (Standard Assignment) ,   Small Business Multibuyer Export Credit Insurance Policy Enhanced Assignment of Policy Proceeds ,   Notification by Insured of Amounts Payable under Multi-Buyer Export Credit Insurance Policy (Standard Assignment) ,   Small Business Single Buyer Export Credit Insurance Policy Enhanced Assignment of Policy Proceeds

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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	680	0	0	0	0	680
Annual Time Burden (Hours)	113	0	0	0	0	113
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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The forms have been in use, but have not previously had OMB's approval.

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Annual Cost to Federal Government: $48,960

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: 10/03/2006

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