Information Collection

Application for Political Risk Investment Insurance

IC 35913 under ICR 201805-3420-001 · OMB 3420-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 52 Application for Political Risk Investment Insurance	Form and Instruction
52 Application for Political Risk Insurance Form 52 ( Clean).docx	Form and Instruction

IC Title:

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:

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	52	Application for Political Risk Insurance	Form 52 ( Clean).docx		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: 45

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	45	-55	100
Annual IC Time Burden (Hours)	135	-765	900
Annual IC Cost Burden (Dollars)	10,125	-57,375	67,500

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.