Information Collection

Application for Long Term Loan or Guarantee

IC 203982 under ICR 202111-3048-004 · OMB 3048-0013.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0013 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 10-02 Application for Long Term Loan or Guarantee	Form and Instruction
EIB 10-02 APPLICATION FOR EXPRESS INSURANCE eib10_02 Pending Nov 2021.pdf www.exim.gov/sites/default/files/pub/pending/eib10_02.pdf	Form and Instruction
EIB 10-02 APPLICATION FOR EXPRESS INSURANCE eib10_02 Pending Nov 2021.pdf www.exim.gov/sites/default/files/pub/pending/eib10_02.pdf	Form and Instruction
Supporting Statement EIB 95-10 3-4-13.doc Application for Long Term Loan or Guarantee	IC Document
Supporting Statement EIB 95-10 3-4-13.doc Application for Long Term Loan or Guarantee	IC Document

IC Title:

Application for Long Term Loan or Guarantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.5(a)(i)(iv)

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	EIB 10-02	APPLICATION FOR EXPRESS INSURANCE	eib10_02 Pending Nov 2021.pdf	https://www.exim.gov/sites/default/files/pub/pending/eib10_02.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	500	416	84
Annual IC Time Burden (Hours)	125	-22	147
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Application for Long Term Loan or Guarantee	Supporting Statement EIB 95-10 3-4-13.doc	06/06/2013

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