Sponsor Disclosure Report

ICR 201509-3420-001

OMB: 3420-0018

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement B
2015-05-08
Supporting Statement A
2015-05-08
IC Document Collections
IC ID
Document
Title
Status
35924 Modified
ICR Details
3420-0018 201509-3420-001
Historical Active 201505-3420-001
OPIC OPIC-129
Sponsor Disclosure Report
Revision of a currently approved collection   No
Regular
Approved without change 10/27/2015
Retrieve Notice of Action (NOA) 09/24/2015
  Inventory as of this Action Requested Previously Approved
10/31/2018 36 Months From Approved 07/31/2018
630 0 630
1,890 0 1,890
141,750 0 141,750

The information provided in the Sponsor Disclosure Report is used by OPIC as a part of the Character Risk Due Diligence/Background check procedure (similar to a commercial banks "Know your customer procedure") that it performs on each party that has a significant relationship (10% or more beneficial ownership, provision of significant credit report, significant managerial relationship) to the projects OPIC finances.

US Code: 22 USC 234(d) Name of Law: Foreign Assitance Act of 1961
  
None

Not associated with rulemaking

  80 FR 33571 06/12/2015
80 FR 50050 08/18/2015
No

1
IC Title Form No. Form Name
Sponsor Disclosure Report OPIC-129 Sponsor Disclosure Report

  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 630 630 0 0 0 0
Annual Time Burden (Hours) 1,890 1,890 0 0 0 0
Annual Cost Burden (Dollars) 141,750 141,750 0 0 0 0
No
No

$64,802
No
Yes
No
No
No
Uncollected
Kristen Meehan 202 336-8598 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/24/2015


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