Export-Import Bank of the United States Application for Working Capital Guarantee

Forms and Documents

Document Name	Status
Form EIB 84-01 EXIM Bank Application for Export Working Capital Guarantee Form and Instruction	Modified
Supporting Statement EIB 84-01 updated 2021-12-03.docx Supporting Statement A	2021-12-08
EIB84-01 Revised 2017 per SBA comments - redlined.pdf Supplementary Document	2017-02-27

IC Document Collections

IC ID	Document Title	Status
202624	EXIM Bank Application for Export Working Capital Guarantee Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0003	ICR Reference No: 202111-3048-009
Status: Received in OIRA	Previous ICR Reference No: 202003-3048-001
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 84-01
Title: Export-Import Bank of the United States Application for Working Capital Guarantee
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/08/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2023
Responses	200	200
Time Burden (Hours)	400	400
Cost Burden (Dollars)	0	0

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Abstract: This is a application form for working capital load guarantees provided by EXIM Bank. EXIM Bank is the U.S. Government agency (created by the Export-Import Bank of 1945 as amended) that facilitates the export financing of U.S. goods and services. This collection of information is necessary under Sec. 635(a) (1) to determine eligibility of applicant for EXIM Bank assistance or participation. EXIM is also requesting the collection of information due to added Section 403 of the EXIM Charter.

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Authorizing Statute(s): US Code: 15 USC 636 Name of Law: Small Business Act
   US Code: 12 USC 635 Name of Law: Export-Import Bank Act of 1945
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 46249	08/18/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 59715	10/28/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
EXIM Bank Application for Export Working Capital Guarantee	EIB 84-01	EXIM APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE

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ICR Summary of Burden

	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	200	200	0	0	0	0
Annual Time Burden (Hours)	400	400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $15,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/08/2021

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