Self-Monitoring Questionnaire for Insurance and Finance Projects

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0019 can be found here:

Documents and Forms

Document Name Document Type
Form 162 Self-Monitoring Questionnaire for Insurance and Finance Projects Form
162 OPIC Self Monitoring Questionnaire 2007 FINAL revised SMQ#162.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Self-Monitoring Questionnaire for Insurance and Finance Projects	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	162	OPIC Self Monitoring Questionnaire	2007 FINAL revised SMQ#162.doc		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	50	300
Annual IC Time Burden (Hours)	3,150	600	2,550
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.