Economic Screening Questionnaire

ICR 202209-3015-002

OMB: 3015-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement B
2022-09-19
Supporting Statement A
2019-06-28
IC Document Collections
IC ID
Document
Title
Status
236749 Modified
ICR Details
3015-0001 202209-3015-002
Received in OIRA 201906-3015-011
DFC DFC‐012
Economic Screening Questionnaire
Reinstatement without change of a previously approved collection   No
Regular 09/19/2022
  Requested Previously Approved
36 Months From Approved
100 0
150 0
11,250 0

The Economic Questionnaire is to be used on an as needed basis to collect information about potential exports of DFC‐supported projects.

PL: Pub.L. 115 - 254 1401 Name of Law: The Better Utilization of Investments Leading to Development Act of 2018 (the “BUILD Act”)
  
None

Not associated with rulemaking

  87 FR 34671 06/07/2022
87 FR 52543 08/26/2022
No

1
IC Title Form No. Form Name
Economic Screening Questionnaire DFC‐012 Economic Screening Questionnaire

  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 100 0 0 0 0 100
Annual Time Burden (Hours) 150 0 0 0 0 150
Annual Cost Burden (Dollars) 11,250 0 0 0 0 11,250
No
No

$5,615
No
    No
    No
No
No
No
No
Deborah Papadopoulos 202 967-6831 [email protected]

  No

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.
09/19/2022


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