Information Collection

SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee

IC 202624 under ICR 201702-3048-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee	Form and Instruction
EIB 84-01 SBA & Ex-Im ank Joint Application for Working Capital Gu EIB84-01-FINAL.pdf www.exim.giv	Form and Instruction
FORM EIB-SBA Form SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL EIB84-01 Revised 2017 per SBA OMB comments.pdf www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	Form and Instruction
Justification for updating the Supporting Statement for OMB 3048.docx Justificatin for Change in Supporting Statement	IC Document

IC Title:

SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee

Agency IC Tracking Number:

EIB 84-01

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320

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	SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE	EIB84-01 Revised 2017 per SBA OMB comments.pdf	http://www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	EIB 84-01	SBA & Ex-Im ank Joint Application for Working Capital Guarantee	EIB84-01-FINAL.pdf	www.exim.giv	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 663

Number of Respondents for Small Entity: 153

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	663	-120	783
Annual IC Time Burden (Hours)	1,658	-43,756	45,414
Annual IC Cost Burden (Dollars)	0	-132,719	132,719

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justificatin for Change in Supporting Statement	Justification for updating the Supporting Statement for OMB 3048.docx	02/22/2013

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