Self-Monitoring Questionnaire

Self-Monitoring Questionnaire for Insurance and Finance Projects

OMB: 3420-0019

IC ID: 35931

Information Collection (IC) Details

View Information Collection (IC)

Self-Monitoring Questionnaire OPIC-162
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OPIC-162 Self-Monitoring Questionnaire OPIC-162_NEW.docx Yes Yes Fillable Fileable Signable
Instruction OPIC-162_NEW_GUIDELINES.docx Yes No Printable Only

International Affairs and Commerce Foreign Affairs

 

465 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   98 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 465 0 0 0 0 465
Annual IC Time Burden (Hours) 2,186 0 326 0 0 1,860
Annual IC Cost Burden (Dollars) 163,913 0 24,413 0 0 139,500

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

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