Assignment Forms

Forms and Documents

Document	Type	Status	Availability
Form EIB 92-53 Assignment Forms	Form	Unchanged	Available
Confidentiality OMB3048-0020.doc	Supplementary Document	Uploaded 2009-12-02	Available
Supporting Statement OMB 3048-0020 11-09-09.doc	Supporting Statement A	Uploaded 2009-12-02	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
45350	Assignment Forms	Form	Unchanged

ICR Details

OMB Control No: 3048-0020	ICR Reference No: 200908-3048-013
Status: Historical Active	Previous ICR Reference No: 200609-3048-001
Agency/Subagency: EXIMBANK	Agency Tracking No: Various
Title: Assignment Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/22/2010
	Date Received in OIRA: 01/12/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2010
Responses	680	0	680
Time Burden (Hours)	113	0	113
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:
	74 FR 54816	10/22/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 20103	01/12/2010
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 92-53, EIB 92-31, EIB 92-32	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) ,   Notification by Insured of Amounts Payable under Single 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	680	0	0	0	0
Annual Time Burden (Hours)	113	113	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $16,320

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)? No

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: 01/12/2010

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