Information Collection

Aligned Capital Investee Opt-In

IC 213700 under ICR 201411-3420-001 · OMB 3420-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPIC-255 Aligned Capital Investee Opt-In	Form
OPIC-255 Aligned Capital Investee Opt-In Form OPIC 255 - Aligned Capital Investee Opt-In Form [FINAL150105]010815.docx	Form

IC Title:

Aligned Capital Investee Opt-In

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	OPIC-255	Aligned Capital Investee Opt-In Form	OPIC 255 - Aligned Capital Investee Opt-In Form [FINAL150105]010815.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	2,813	2,813

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.