Information Collection

Application for Medium-TermInsurance or Guarantee

IC 205197 under ICR 201212-3048-001 · OMB 3048-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 03-02 Application for Medium Term Insurance or Guarantee Application for Medium-TermInsurance or Guarantee	Form and Instruction
EIB 03-02 Application for Medium Term Insurance or Guarantee eib03-02 12-13-12.pdf	Form and Instruction

IC Title:

Application for Medium-TermInsurance or Guarantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.6

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 03-02			www.exim.gov	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: 400

Number of Respondents for Small Entity: 320

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	1,100	1,100
Annual IC Cost Burden (Dollars)	38,100	38,100

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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