U.S. Small Business Administration, Export-Import Bank of the United States Joint Application for Working Capital Guarantee

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FORM EIB-SBA Form SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee	Form and Instruction	Modified	Available
EIB84-01 Revised 2017 per SBA comments - redlined.pdf	Supplementary Document	Uploaded 2017-02-27	Available
Supporting Statement EIB 84-01 updated 2017-02-22.doc	Supporting Statement A	Uploaded 2017-02-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
202624	SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee	Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0003	ICR Reference No: 201702-3048-001
Status: Historical Active	Previous ICR Reference No: 201302-3048-001
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 84-01
Title: U.S. Small Business Administration, Export-Import Bank of the United States Joint Application for Working Capital Guarantee
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/08/2017
	Date Received in OIRA: 03/02/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2020	36 Months From Approved
Responses	663	0	0
Time Burden (Hours)	1,658	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This is a joint application form for working capital load guarantees provided by Ex-Im Bank and the Small Business Administration. Ex-Im Bank is the U.S. Government agency (created by the Export-Import Bank of 1945 as amended) that facilitates the export financing of U.S. goods and services. This collection of information is necessary under Sec. 635(a) (1) to determine eligibility of applicant for Ex-Im Bank assistance or participation. The Small Business Administration is the U.S. Government Agency (created by the Small Business Act, as amended) that aids and assists small businesses to increase their ability to compete in international markets by enhancing their ability to export. This collection of information is necessary under Section 7(a) (14) of the Small Business Act (15 U.S.C. 636 (a) (14) to determine eligibility of applicant for SBA assistance or participation.

---

Authorizing Statute(s): US Code: 15 USC 636 Name of Law: Small Business Act
   US Code: 12 USC 635 Name of Law: Export-Import Bank Act of 1945
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 30457	05/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 76487	12/09/2015
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee	EIB 84-01, FORM EIB-SBA Form 84-01	SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE ,   SBA & Ex-Im ank Joint Application for Working Capital Guarantee

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	663	0	0	-120	0	783
Annual Time Burden (Hours)	1,658	0	0	-43,756	0	45,414
Annual Cost Burden (Dollars)	0	0	0	-132,719	0	132,719

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The public burden estimate of hours is reduced due to EXIM’s experiencing a lower number of respondents. The previous financial estimate of the public burden is removed in this submission because it was previously estimated in error. Response time is the only public burden anticipated. There are no monetary costs specifically attributed to this IC that would be incurred by the respondents.

---

Annual Cost to Federal Government: $74,770

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/02/2017

---