Application for International Indemnification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3135-0094 can be found here:

Documents and Forms

Document Name Document Type
International Indemnity Application Instructions 2020.pdf Application for Indemnification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for International Indemnification	Agency IC Tracking Number:	3135NEA-Indemnnity

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	1,786	1,786
Annual IC Cost Burden (Dollars)	72,000	72,000

Documents for IC

Title	Document	Date Uploaded
Application for Indemnification	International Indemnity Application Instructions 2020.pdf	03/12/2020

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