Information Collection

Report of Premiums Payable for Financial Institutions Only

IC 45939 under ICR 201011-3048-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form EIB 92-30 Report of Premiums Payable for Financial Institutions Only Form
EIB 92-30 Report of Premums for Financial Institutions Only new_EIB_92-30 final.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 92-30	Report of Premums for Financial Institutions Only	new_EIB_92-30 final.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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,800	0	1,800
Annual IC Time Burden (Hours)	1,200	750	450
Annual IC Cost Burden (Dollars)	0	0	0

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.