Information Collection

Application for Political Risk Insurance

IC 236737 under ICR 201906-3015-005 · OMB 3015-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3015-0003 can be found here:

Documents and Forms

Document Name Document Type
Form DFC‐003 Application for Political Risk Insurance Form and Instruction
DFC‐003 Application for Political Risk Insurance DFC-003 Application for Political Risk Insurance.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Political Risk Insurance	Agency IC Tracking Number:	DFCâ003

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DFCâ003	Application for Political Risk Insurance	DFC-003 Application for Political Risk Insurance.pdf	N/A	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: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	10,125	10,125

Documents for IC

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.