Information Collection

EDN Loan/Insurance Originator Application Questionnaire

IC 183212 under ICR 200712-3420-003 · OMB 3420-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0030 can be found here:

Documents and Forms

Document Name Document Type
Form OPIC-241 EDN Loan/Insurance Originator Application Questionnaire Form
OPIC-241 EDN Loan/Insurance Originator Application Questionnaire OPIC-241.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	EDN Loan/Insurance Originator Application Questionnaire	Agency IC Tracking Number:	OPIC-241

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OPIC-241	EDN Loan/Insurance Originator Application Questionnaire	OPIC-241.doc		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	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.