Application for International Indemnification

Documents and Forms

Document Name Document Type
Form 3135-0094 Application for International Indemnification Form and Instruction
3135-0094 Application for International Indemnification Instructions - International Indemnity 2023.pdf Form and Instruction
3135-0094 Application for International Indemnification Instructions - International Indemnity 2023.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for International Indemnification	Agency IC Tracking Number:	3135NEA-Indemnnity

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3135-0094	Application for International Indemnification	Instructions - International Indemnity 2023.pdf		Yes	Yes	Printable Only

Line of Business: Education

Subfunction: Cultural and Historic Exhibition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	40	0	40
Annual IC Time Burden (Hours)	1,800	14	1,786
Annual IC Cost Burden (Dollars)	83,880	11,880	72,000

Documents for IC

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.