Information Collection

Application for Financing

IC 201722 under ICR 201203-3420-002 · OMB 3420-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OPIC Form 115 revised 2012.docx Application for Financing	IC Document
2012-OPIC-115 Supporting Statement .docx Supporting Statement for - OPIC-115	IC Document

IC Title:

Application for Financing

Agency IC Tracking Number:

OPIC-115

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.9

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 1

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	4,688	4,688
Annual IC Cost Burden (Dollars)	1,875	1,875

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Application for Financing	OPIC Form 115 revised 2012.docx	03/28/2012
Supporting Statement for - OPIC-115	2012-OPIC-115 Supporting Statement .docx	03/28/2012

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