Information Collection

Application for Exporter Short-Term Single-Buyer Insurance

IC 29415 under ICR 201210-3048-004 · OMB 3048-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 92-64 Application for Exporter Short-Term Single-Buyer Insurance	Form and Instruction
EIB 92-64 Application for Exporter Short Term Single Buyer Insuran EIB92-64-rev-10-15-12.pdf WWW.EXIM.GOV	Form and Instruction

IC Title:

Application for Exporter Short-Term Single-Buyer Insurance

Agency IC Tracking Number:

EIB 92-64

Is this a Common Form? No

IC Status: Modified

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 and Instruction	EIB 92-64	Application for Exporter Short Term Single Buyer Insurance	EIB92-64-rev-10-15-12.pdf	WWW.EXIM.GOV	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 310

Number of Respondents for Small Entity: 80

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	310	150	160
Annual IC Time Burden (Hours)	2,480	2,320	160
Annual IC Cost Burden (Dollars)	72,019	72,019	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.