Information Collection

Application for Debt Finance

IC 240270 under ICR 202010-3015-004 · OMB 3015-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3015-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DFC-001A Application for Debt Finance	Form and Instruction
DFC-001A Application for Debt Finance DFC 001A (FINAL).docx	Form and Instruction

IC Title:

Application for Debt Finance

Agency IC Tracking Number:

DFC-001A

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	DFC-001A	Application for Debt Finance	DFC 001A (FINAL).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: 220

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	220	-20	240
Annual IC Time Burden (Hours)	330	-30	360
Annual IC Cost Burden (Dollars)	24,750	-2,250	27,000

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.