Information Collection

Self-Monitoring Questionnaire

IC 35931 under ICR 201806-3420-001 · OMB 3420-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 162 Self-Monitoring Questionnaire	Form and Instruction
162 Office of Investment Policy Questionnaire OPIC 162 SMQ.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

OPIC-162

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	162	Office of Investment Policy Questionnaire	OPIC 162 SMQ.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 465

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	465	465
Annual IC Time Burden (Hours)	2,186	2,186
Annual IC Cost Burden (Dollars)	163,913	163,913

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.