Information Collection

Payment Default Report

IC 189169 under ICR 200905-3048-002 · OMB 3048-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0028 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 09-01 Payment Default Report	Form
EIB 09-01 Payment Default Report Payment Default Report (Online) --4-2-09.doc	Form

IC Title:

Payment Default Report

Agency IC Tracking Number:

EIB 09-01

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 09-01	Payment Default Report	Payment Default Report (Online) --4-2-09.doc		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.