Information Collection

Report of Premiums Payable for Financial Institutions Only

IC 45939 under ICR 201005-3048-001 · OMB 3048-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 92-30 OMB 3048 Report of Premiums Payable for Financial Institutions Only	Form and Instruction
EIB 92-30 OMB 3048 Report of Premiums Payable for Financial Institutins eib92-30-2-2010.pdf	Form and Instruction
Supporting Statement EIB 92-30 05-11-10.doc Supporting Document EIB 92-30	IC Document

IC Title:

Report of Premiums Payable for Financial Institutions Only

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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 92-30 OMB 3048-0021	Report of Premiums Payable for Financial Institutins	eib92-30-2-2010.pdf		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: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Document EIB 92-30	Supporting Statement EIB 92-30 05-11-10.doc	05/11/2010

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