Self-Monitoring Questionnaire for Insurance and Finance Projects

ICR 201107-3420-008

OMB: 3420-0019

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement B
2011-07-29
Supporting Statement A
2011-07-29
IC Document Collections
ICR Details
3420-0019 201107-3420-008
Historical Active 200706-3420-001
OPIC OPIC-162
Self-Monitoring Questionnaire for Insurance and Finance Projects
Revision of a currently approved collection   No
Regular
Approved without change 08/26/2011
Retrieve Notice of Action (NOA) 07/29/2011
  Inventory as of this Action Requested Previously Approved
08/31/2014 36 Months From Approved 09/30/2011
350 0 350
3,150 0 3,150
0 0 0

The questionnaire is completed annually to provide information that allows OPIC to better assess the effects Overseas Private Investment Corporation (OPIC)-assisted projects will have on the U.S. economy and employment, as well as the environment and economic abroad.

None
US Code: 44 USC 3501 Name of Law: Paperwork Reduction Act

Not associated with rulemaking

  76 FR 59 03/28/2011
76 FR 125 06/28/2011
No

1
IC Title Form No. Form Name
Self-Monitoring Questionnaire for Insurance and Finance Projects 162 OPIC Self Monitoring Questionnaire

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 350 350 0 0 0 0
Annual Time Burden (Hours) 3,150 3,150 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$35,000
No
Yes
No
No
No
Uncollected
Essie Bryant [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/29/2011


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