Information Collection

FORM EIB-SBA Form 84-01

IC 225814 under ICR 201701-3048-003 · OMB 3048-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FORM EIB-SBA Form FORM EIB-SBA Form 84-01	Form and Instruction
FORM EIB-SBA Form http://www.exim.gov/sites/default/files/pub/pending/eib8 EIB84-01 Revised 2017 per SBA OMB comments (2).pdf www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	Form and Instruction

IC Title:

FORM EIB-SBA Form 84-01

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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 and Instruction	FORM EIB-SBA Form 84-01	http://www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	EIB84-01 Revised 2017 per SBA OMB comments (2).pdf	http://www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction:

Privacy Act System of Records

Title: SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE

FR Citation:

Number of Respondents: 663

Number of Respondents for Small Entity: 663

Affected Public: Private Sector

Private Sector:

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	663	663
Annual IC Time Burden (Hours)	1,658	1,658
Annual IC Cost Burden (Dollars)	0	0

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.