EIB 10-01 Questionnaire regarding Activities related to the Islamic Republic of Iran

Forms and Documents

Document Name	Status
Form EIB 10-01A Questionnaire Regarding Activities Related to the Islamic Republic of Iran Form and Instruction	New
New Iran Questionnaires Supporting Statement v3.doc Supporting Statement A	2010-07-26

IC Document Collections

IC ID	Document Title	Status
192273	Questionnaire Regarding Activities Related to the Islamic Republic of Iran Form and Instruction	New

ICR Details

OMB Control No: 3048-0030	ICR Reference No: 201003-3048-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 10-01
Title: EIB 10-01 Questionnaire regarding Activities related to the Islamic Republic of Iran
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/30/2010
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/26/2010
	Date Received in OIRA: 03/15/2010
Terms of Clearance: Agency revised information collection instruments to address public comments received. OMB requests agency review and revise, as needed, agency estimate of burden upon renewal of collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	6 Months From Approved
Responses	362	0	0
Time Burden (Hours)	91	0	0
Cost Burden (Dollars)	6,516	0	0

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Abstract: The Consolidated Appropriations Act of 2010 (P.L. 111-117) (“the Act”), enacted December 16, 2009 provides for Ex-Im Bank’s FY2010 budget authorization. As part of the U.S. government’s efforts to strengthen sanctions against Iran, the Act contains language prohibiting Ex-Im Bank from: Authoriz[ing] any new guarantee, insurance, or extension of credit for any project controlled by an energy producer or refiner that continues to: (A) provide Iran with significant refined petroleum resources; (B) materially contribute to Iran’s capability to import refined petroleum resources; or (C) allow Iran to maintain or expand, in any material respect, its domestic production of refined petroleum resources, including any assistance in refinery construction, modernization, or repair.

Emergency Justfication: See attached memo from Faisal B. Siddigui Assistant General Counsel for Export Import Bank of the United States

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Authorizing Statute(s): PL: Pub.L. 111 - 117 7043 Name of Law: Consolidated Appropriation Act of 2010
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 117 7043 Name of Law: Consolidated Appropriation Act of 2010

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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

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
Questionnaire Regarding Activities Related to the Islamic Republic of Iran	EIB 10-01B, EIB 10-01A	Long Term Transaction Questionnaire ,   Oil and Gas Company Questionnaire

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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	362	0	362	0	0	0
Annual Time Burden (Hours)	91	0	91	0	0	0
Annual Cost Burden (Dollars)	6,516	0	6,516	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: This is a new IC required by the Consolidated Appropriations Act of 2010 (P.L. 111-117) see attached supporting statement and memo from the Assistant General Counsel for the Export Import Bank of the United States

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Annual Cost to Federal Government:

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]? No

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: 03/15/2010

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