Information Collection

Application for Express Insurance

IC 196204 under ICR 201008-3048-001 · OMB 3048-0031.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.