Form DFC-007a Impact Assessment Questionnaire: COVID-19 Response Versi

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Overview

CoverPage
Common_Questions

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Sheet 1: CoverPage

IMPACT ASSESSMENT QUESTIONNAIRE: COVID-19 RESPONSE VERSION (DFC-007a)

OMB No. 3015-0009

Expiration Date: 8-31-2022

United States International Development Finance Corporation

1100 New York Avenue, NW Washington, DC 20527-0001

An Agency of the United States Government

Responses to questions which call for estimates or projections should take the form of good faith statements made to the best of the applicant’s knowledge and belief. Statements of fact provided to DFC in this document must be accurate as of the date of submission. Anyone who knowingly makes a false statement with the intent to influence DFC’s guarantees, loans, or other investments may be criminally prosecuted.  Such false statements are also grounds for DFC to terminate a commitment or declare a contract default.  These rights are in addition to any other rights or remedies available to United States government. Neither submission nor acceptance of this application implies that the proposed transaction is eligible for support or that support will be provided.

Information provided in this form will be deemed designated as “confidential commercial information” in accordance with Freedom of Information Act (FOIA) regulations at 22 C.F.R. Part 706, and will be treated as such to the extent permitted by applicable law.

Paperwork Reduction Act Notice: This information is required to obtain benefits. Federal agencies may not collect information unless a valid OMB Control Number with an expiration date that has not expired is displayed. The public reporting burden for this collection of information is estimated to average 2.8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden, to Agency Clearance Officer, Records Management, United States International Development Finance Corporation, 1100 New York Avenue, NW, Washington, DC, 20527 and to the DFC Desk Officer at the Office of Information and Regulatory Affairs, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, DC 20503.

SPECIAL NOTE: This off-line Excel version of the DFC-007 is only for use by applicants whose transactions DFC has designated as being responsive to the impacts associated with the COVID-19 pandemic. Do not use this version unless your DFC contact has instructed you to do so. All other DFC applicants must complete the DFC-007 through the online DFC Forms portal and answer all applicable questions in the form. Your DFC contact can generate a DFC-007 for you in the online system.

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Sheet 2: Common_Questions

	Instructions: Sections marked with a red asterisk contain one or more questions that must be completed by COVID-19 Response applicants. The required questions are highlighted in yellow. All other questions may be left blank. Click the "Expand Section" button next to any section title to expand the rows and fill in answers to required questions.
	QUESTIONS COMMON TO ALL PROJECT TYPES
1	PROJECT DESCRIPTION AND OWNERSHIP PROFILE *
2	PROJECT SOCIAL CHARACTERISTICS *
3														PROJECT HUMAN RESOURCES MANAGEMENT AND JOB QUALITY *
4	PROJECT BENEFITS TO WOMEN, ENVIRONMENT, AND COMMUNITY
5	BUSINESS INNOVATION							No required questions for COVID-19 Response applicants.
6	PROJECT COMPETITIVE POSITION							No required questions for COVID-19 Response applicants.
7	PROJECT OPERATIONAL EMPLOYMENT *
8	MACROECONOMIC IMPACTS ON THE US, LOCAL AND THIRD COUNTRY ECONOMIES *
9	FINANCIAL OR NON-FINANCIAL SECTOR PROJECT *