Information Collection

Ex-Im Bank Survey of Former Small Business Customers

IC 209201 under ICR 201202-3048-001 · OMB 3048-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB11-01 Ex-Im Bank Survey of Former Small Business Customers	Form and Instruction
EIB11-01 Survey of Previous Customers Survey of Previous Customers.docx To be assigned	Form and Instruction
Cover letter for former small business customer survey.docx Cover Letter for Former Small Business Customer Survey	IC Document
Request for Approval of Former Small Biz Customer Survey.docx Request for Approval of Former Small Biz Customer Survey	IC Document

IC Title:

Ex-Im Bank Survey of Former Small Business Customers

Agency IC Tracking Number:

EIB 11-01

IC Status: New

Obligation to Respond: Voluntary

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	EIB11-01	Survey of Previous Customers	Survey of Previous Customers.docx	To be assigned	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: 386

Number of Respondents for Small Entity: 386

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	386	386
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Cover Letter for Former Small Business Customer Survey	Cover letter for former small business customer survey.docx	11/05/2013
Request for Approval of Former Small Biz Customer Survey	Request for Approval of Former Small Biz Customer Survey.docx	11/05/2013

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