Information Collection

Enhanced Assignment of Policy Proceeds

IC 205896 under ICR 201302-3048-003 · OMB 3048-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 99-17 Enhanced Assignment of Policy Proceeds	Form and Instruction
EIB 99-17 Enhanced Assignment of Policy Proceeds EIB 99-17.pdf WWW.EXIM.GOV	Form and Instruction

IC Title:

Agency IC Tracking Number:

EIB 99-17

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 99-17	Enhanced Assignment of Policy Proceeds	EIB 99-17.pdf	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: 110

Number of Respondents for Small Entity: 35

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	165	165
Annual IC Cost Burden (Dollars)	4,252	4,252

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.