Form EIB-01-02 Content Report on Products & Services in Ex-Im Bank Tran

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OMB No. 3048-0012
Expires:

EXPORT-IMPORT BANK OF THE UNITED STATES
Content Report on Products & Services In Ex-Im Bank Transactions
For Use With Medium and Long Term Loans and Guarantees, and Medium Term Export Credit Insurance

Date:
Name and Address of Supplier:

RE:

Ex-Im Bank Credit/Guarantee/Insurance Policy Number:
Supply Contract Reference Number:
Purchaser:

The Export-Import Bank of the United States (“Ex-Im Bank”) has issued a Credit/Guarantee/Insurance Policy to
support Products and Services, as listed in the attached report, that were provided to the purchaser by the
undersigned.
To the best of our knowledge the above information is true and accurate, and represents the identifiable
Products and Services (U.S. & non-U.S. content) supplied by us and covered under the above referenced
Credit/Guarantee/Insurance Policy Number. If requested by Ex-Im Bank, we agree to reasonably provide
supplemental information to the content information described above. Ex-Im Bank will use the information
reported herein to create an aggregate report to illustrate broad trends and patterns. Ex-Im Bank will treat all
case-specific information as business confidential.
Notices: The applicant is hereby notified that information requested by this application is done so under authority of the Export-Import Bank Act
of 1945, as amended (12 USC 635 et. seq.); provision of this information is mandatory and failure to provide the requested information may result in
Ex-Im Bank being unable to determine eligibility for support. Ex-Im Bank may not require the information and applicants are not required to provide
information requested in this application unless a currently valid OMB control number is displayed on this form (see upper right of each page).
Ex-Im Bank and its officers and employees are subject to the Trade Secrets Act (18 U.S.C. Sec. 1905) which requires Ex-Im Bank to protect
confidential business and commercial information from disclosure, and 12 CFR 404.7 which provides that Ex-Im Bank will not disclose information
provided in confidence without the submitter's consent and except as required by law. Ex-Im Bank will endeavor to restrict the disclosure of all
information provided in this form, to the fullest extent permissible under federal information disclosure laws including the Freedom of Information
Act (5 USC 552), the Privacy Act of 1974 (5 USC 552a), or under any other law or court order.
Public Burden Statement: Reporting for this collection of information is estimated to average 2 hours per response, including reviewing
instructions, searching data sources, gathering information, completing, and reviewing the application. Send comments regarding the burden
estimate, including suggestions for reducing it, to Office of Management and Budget, Paperwork Reduction Project OMB# 3048, Washington, D.C.
20503.

EIB 01-02
11/2007

Attachment
Content Report on Goods & Services In Ex-Im Bank Transactions
Column A

Column B

Description of Goods & Services including
manufacturer, model, and number of units financed
under the Ex-Im Bank financing – Include SIC or
NAICS code

Identify the foreign content (may include multiple
components) included in good/service shown in
column “A”, including the manufacturer and the
country of origin. (See note 1 below)

Description

Description

Value ($US)

Value ($US)

1.
i.
ii.
iii.

Description
2.

Value ($US)

Description

Value ($US)

i.
ii.
iii.

Description
3.

Value ($US)

Description

Value ($US)

i
ii.
iii.

– For this purpose, foreign content may apply to either the whole good/service or any part(s) of the good/service identified in Column
“A”. The foreign content must be listed in Column “B” if the foreign content in the good/service or part(s) of the good/service
identified in Column “A” is valued at more than $500,000.00 or is more than 10% of the value of the good/service, whichever is less.