Application for Express Insurance

Application for Short-Term Express Credit Insurance Policy

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0031 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 10-02 Application for Express Insurance Form
EIB 10-02 Application for Express Insurance EIB 10-02 Short Term Express App.pdf www.exim.gov Form

Information Collection (IC) Details

IC Title:	Application for Express Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 10-02	Application for Express Insurance	EIB 10-02 Short Term Express App.pdf	www.exim.gov	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: 500	Number of Respondents for Small Entity: 500

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	2,200	2,200
Annual IC Cost Burden (Dollars)	60,000	60,000

Documents for IC

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.