Application for Political Risk Investment Insurance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3420-0011 can be found here:

Documents and Forms

Document Name Document Type
Form OPIC-52 Application for Political Risk Investment Insurance Form
OPIC-52 Application for Political Risk Insurance Form 52 Final.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Political Risk Investment Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OPIC-52	Application for Political Risk Insurance	Form 52 Final.pdf		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: 100	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	67,500	67,500

Documents for IC

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.