Application for Financing

Forms and Documents

Document Name	Status
Form OPIC-115 Application for Financing Form	Modified
OPIC Form 115 - Supporting Statement.doc Supporting Statement A	2015-03-09

IC Document Collections

IC ID	Document Title	Status
35919	Application for Financing Form	Modified

ICR Details

OMB Control No: 3420-0015	ICR Reference No: 201503-3420-002
Status: Historical Active	Previous ICR Reference No: 201205-3420-005
Agency/Subagency: OPIC	Agency Tracking No: OPIC-115
Title: Application for Financing
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: 04/29/2015
	Date Received in OIRA: 03/09/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	05/31/2015
Responses	200	0	250
Time Burden (Hours)	150	0	438
Cost Burden (Dollars)	11,250	0	18,750

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Abstract: The application is the principal document used by OPIC to determine the investor's and the project's eligibility for project financing and collect information for financial underwriting analysis.

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Authorizing Statute(s): US Code: 22 USC 234(d) Name of Law: Foreign Assitance Act of 1961
  

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:
	79 FR 77052	12/23/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 10523	02/26/2015
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Application for Financing	OPIC-115	Application for Financing

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ICR Summary 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	200	250	0	-50	0	0
Annual Time Burden (Hours)	150	438	0	-288	0	0
Annual Cost Burden (Dollars)	11,250	18,750	0	-7,500	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: OPIC previously estimated that the agency received approximately 250 applications per year. Based upon data from our new on-line application system, we have refined our estimate to approximately 200 applications per year. The estimated annual time burden was incorrectly calculated by the previous records officer.

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Annual Cost to Federal Government: $10,286

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? Yes

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: 03/09/2015

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