Export-Import Bank of the U.S. Application for Medium-Term Insurance or Guarantee

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EIB 03-02 Application for Medium-Term Insurance or Guarantee	Form	Removed	Available
Form EIB 03-02 Application for Medium Term Insurance or Guarantee	Form and Instruction	New	Available
Supporting Statement EIB 03-02 12-20-12.doc	Supporting Statement A	Uploaded 2012-12-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44148	Export-Import Bank of the U.S. Application for Medium-Term Insurance or Guarantee	Form	Removed	Application for Medium-Term Insurance or Guarantee
205197	Application for Medium-TermInsurance or Guarantee	Form and Instruction	New	Application for Medium Term Insurance or Guarantee

ICR Details

OMB Control No: 3048-0014	ICR Reference No: 201212-3048-001
Status: Historical Active	Previous ICR Reference No: 200910-3048-002
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 03-02
Title: Export-Import Bank of the U.S. Application for Medium-Term Insurance or Guarantee
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/25/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/26/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	400	0	400
Time Burden (Hours)	1,100	0	700
Cost Burden (Dollars)	38,100	0	0

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Abstract: The application requests information about the export finance transaction and the participants. The information is necessary to determine compliance with legislative mandates regarding the program, including creditworthiness. This application is to be used for insurance and guarantee transactions with financed amounts of $10 million or less and repayment terms between eighteen months and seven years.

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Authorizing Statute(s): PL: Pub.L. 109 - 438 14 Name of Law: Export-Import Bank Reauthorization Act of 2006
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 202	10/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 247	12/26/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Medium-TermInsurance or Guarantee	EIB 03-02	Application for Medium Term Insurance or Guarantee
Export-Import Bank of the U.S. Application for Medium-Term Insurance or Guarantee	EIB 03-02	Application for Medium-Term Insurance or Guarantee

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ICR Summary of Burden

table that charts list of burden

	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	400	400	0	400	-400	0
Annual Time Burden (Hours)	1,100	700	0	1,100	-700	0
Annual Cost Burden (Dollars)	38,100	0	0	38,100	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Export Import Bank has analyzed their costs for reviewing and benefits and overhead which has resulted in an increase in the Government Burden cost for this ICR. Ex-Im Bank has also updated this form to provide a more efficient workflow and thereby reduce the respondents completion time.

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Annual Cost to Federal Government: $38,115

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/26/2012

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