Information Collection

Questionnaire Regarding Activities Related to the Islamic Republic of Iran

IC 192273 under ICR 201003-3048-001 · OMB 3048-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 10-01A Questionnaire Regarding Activities Related to the Islamic Republic of Iran	Form and Instruction
EIB 10-01A Long Term Transaction Questionnaire EIB10-01A.doc	Form and Instruction
EIB 10-01B Oil and Gas Company Questionnaire EIB10-01B.doc	Form and Instruction
EIB 10-01 Memo to OMB.doc Memo to OMB	IC Document

IC Title:

Questionnaire Regarding Activities Related to the Islamic Republic of Iran

Agency IC Tracking Number:

EIB 10-01

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 and Instruction	EIB 10-01A	Long Term Transaction Questionnaire	EIB10-01A.doc		No		Paper Only
Form and Instruction	EIB 10-01B	Oil and Gas Company Questionnaire	EIB10-01B.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 362

Number of Respondents for Small Entity: 362

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	362	362
Annual IC Time Burden (Hours)	91	91
Annual IC Cost Burden (Dollars)	6,516	6,516

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo to OMB	EIB 10-01 Memo to OMB.doc	03/15/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.