Notice of Claim and Proof of Loss, Working Capital Guarantee

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EIB 10-04 Notice of Claim & Proof of Loss, Working Capital Guarantee	Form and Instruction	Modified	Available
EIB 10-04 Supporting Statement_7_31_2017.docx	Supporting Statement A	Uploaded 2017-07-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196187	Notice of Claim & Proof of Loss, Working Capital Guarantee	Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0035	ICR Reference No: 201707-3048-001
Status: Active	Previous ICR Reference No: 201404-3048-002
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 10-04
Title: Notice of Claim and Proof of Loss, Working Capital Guarantee
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/18/2017
	Date Received in OIRA: 07/31/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved	12/31/2017
Responses	17	0	20
Time Burden (Hours)	17	0	20
Cost Burden (Dollars)	0	0	0

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Abstract: Pursuant to the Export-Import Bank Act of 1945, as amended (12 USC 635, et seq.), the Export-Import Bank of the United States (Ex-Im Bank), facilitates the finance of the export of U.S. goods and services by providing insurance or guarantees to U.S. exporters or lenders financing U.S. exports. By neutralizing the effect of export credit insurance or guarantees offered by foreign governments and by absorbing credit risks that the private sector will not accept, Ex-Im Bank enables U.S. exporters to compete fairly in foreign markets on the basis of price and product. In the event that a borrower defaults on a transaction insured or guaranteed by Ex-Im Bank, the insured or guaranteed exporter or lender may seek payment from Ex-Im Bank by the submission of a claim. This collection of information is necessary, pursuant to 12 USC 635 (a)(1), to determine if such claim complies with the terms and conditions of the relevant insurance policy or guarantee, as the case may be. Ex-Im Bank offers guarantees of principal and interest on floating or fixed-rate loans by eligible lenders to creditworthy U.S. exporters to enable them to meet their working capital needs and fulfill their export sales contracts. The guarantees cover the repayment risks of the U.S. exporters export working capital line. Ex-Im Bank guarantees that, in the event of a payment default by the borrower, it will repay to the lender the outstanding principal and interest on the loan.

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Authorizing Statute(s): US Code: 12 USC 635 Name of Law: Export Import Bank of the United States
  

Citations for New Statutory Requirements: US Code: 12 USC 635(a)(1) Name of Law: Export Import Act of 1945

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24967	05/31/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24967	05/31/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Notice of Claim & Proof of Loss, Working Capital Guarantee	EIB 10-04	Notice of Claim & Proof of Loss, Working Capital Guarantee

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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	17	20	0	0	-3	0
Annual Time Burden (Hours)	17	20	0	0	-3	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: Based on the number of respondents processed, the number of responses were decreased which decreased the burden.

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Annual Cost to Federal Government: $867

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

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Common Form ICR:  No

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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: 07/31/2017

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