Information Collection

Sponsor Disclosure Report

IC 35924 under ICR 201509-3420-001 · OMB 3420-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPIC-129 Sponsor Disclosure Report	Form
OPIC-129 Sponsor Disclosure Report New OPIC Form 129 v2(FINAL).docx	Form
Revised draft OPIC Form 129 - Supporting Statement (August submission).doc Supporting Statement	IC Document

IC Title:

Sponsor Disclosure Report

Agency IC Tracking Number:

3420-0018

Is this a Common Form? No

IC Status: Modified

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-129	Sponsor Disclosure Report	New OPIC Form 129 v2(FINAL).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: 630

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	Previously Approved
Annual Number of Responses for this IC	630	630
Annual IC Time Burden (Hours)	1,890	1,890
Annual IC Cost Burden (Dollars)	141,750	141,750

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	Revised draft OPIC Form 129 - Supporting Statement (August submission).doc	09/24/2015

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