Information Collection

MT MGA Disbursement Approval Request

IC 207882 under ICR 201607-3048-002 · OMB 3048-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 12-01 MT MGA Disbursement Approval Request	Form and Instruction
EIB 12-01 MT MGA Disbursement Approval Request EIB 12-01 Disbursement Request.pdf www.exim.gov/sites/default/files/pub/pending/eib12-01.pdf	Form and Instruction

IC Title:

MT MGA Disbursement Approval Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 404.1

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 and Instruction	EIB 12-01	MT MGA Disbursement Approval Request	EIB 12-01 Disbursement Request.pdf	http://www.exim.gov/sites/default/files/pub/pending/eib12-01.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 75

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	0	150
Annual IC Time Burden (Hours)	75	0	75
Annual IC Cost Burden (Dollars)	0	-1,359	1,359

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.