Information Collection

Application for Political Risk Insurance

IC 236737 under ICR 202207-3015-004 · OMB 3015-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3015-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DFC‐003 Application for Political Risk Insurance	Form and Instruction
DFC‐003 Application for Political Risk Insurance DFC Form 003.pdf	Form and Instruction
DFC‐003 Application for Political Risk Insurance DFC Form 003.pdf	Form and Instruction

IC Title:

Application for Political Risk Insurance

Agency IC Tracking Number:

DFCâ003

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	DFCâ003	Application for Political Risk Insurance	DFC Form 003.pdf	N/A	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: Individuals or Households

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	175	45
Annual IC Time Burden (Hours)	330	195	135
Annual IC Cost Burden (Dollars)	24,750	14,625	10,125

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.