Notice of Claim and Proof of Loss, Working Capital Guarantee

ICR 202102-3048-002

OMB: 3048-0035

Federal Form Document

Forms and Documents
Form and Instruction
Justification for No Material/Nonsubstantive Change
Supporting Statement A
IC Document Collections
ICR Details
3048-0035 202102-3048-002
Received in OIRA 202012-3048-002
Notice of Claim and Proof of Loss, Working Capital Guarantee
No material or nonsubstantive change to a currently approved collection   No
Regular 02/18/2021
  Requested Previously Approved
02/29/2024 02/29/2024
17 17
17 17
0 0

Pursuant to the Export-Import Bank Act of 1945, as amended (12 USC 635, et seq.), the Export-Import Bank of the United States (Ex-Im Bank), facilitates the finance of the export of U.S. goods and services by providing insurance or guarantees to U.S. exporters or lenders financing U.S. exports. By neutralizing the effect of export credit insurance or guarantees offered by foreign governments and by absorbing credit risks that the private sector will not accept, Ex-Im Bank enables U.S. exporters to compete fairly in foreign markets on the basis of price and product. In the event that a borrower defaults on a transaction insured or guaranteed by Ex-Im Bank, the insured or guaranteed exporter or lender may seek payment from Ex-Im Bank by the submission of a claim. This collection of information is necessary, pursuant to 12 USC 635 (a)(1), to determine if such claim complies with the terms and conditions of the relevant insurance policy or guarantee, as the case may be. Ex-Im Bank offers guarantees of principal and interest on floating or fixed-rate loans by eligible lenders to creditworthy U.S. exporters to enable them to meet their working capital needs and fulfill their export sales contracts. The guarantees cover the repayment risks of the U.S. exporters export working capital line. Ex-Im Bank guarantees that, in the event of a payment default by the borrower, it will repay to the lender the outstanding principal and interest on the loan.

US Code: 12 USC 635 Name of Law: Export Import Bank of the United States
US Code: 12 USC 635(a)(1) Name of Law: Export Import Act of 1945

Not associated with rulemaking

  85 FR 198 10/13/2020
85 FR 243 12/17/2020

IC Title Form No. Form Name
Notice of Claim & Proof of Loss, Working Capital Guarantee EIB 10-04 Notice of Claim & Proof of Loss, Working Capital Guarantee

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17 17 0 0 0 0
Annual Time Burden (Hours) 17 17 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Bassam Doughman 202 565-3168 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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