Information Collection Request

Notice of Claim & Proof of Loss, Medium Term Guarantee

ICR 202409-3048-001 · OMB 3048-0034 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form EIB 10-05 Notice of Claim and Proof of Loss – Medium- and Long-Term Guarantee Form and Instruction Modified Available
Form EIB 10-05 Notice of Claim and Proof of Loss, Medium Term Guarantee Form and Instruction Modified Repair queued
EIB 10-05 Notice of Claim Proof of Loss MLT Guarantee SUPPORTING STATEMENT 2024.docx Supporting Statement A Uploaded 2024-09-18 Available
EIB 10-05 Notice of Claim Proof of Loss MLT Guarantee SUPPORTING STATEMENT 2024.docx Supporting Statement A Uploaded 2024-09-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196188 Notice of Claim and Proof of Loss, Medium Term Guarantee Form and Instruction ModifiedNotice of Claim and Proof of Loss – Medium- and Long-Term Guarantee
196188 Notice of Claim and Proof of Loss, Medium Term Guarantee Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2027 36 Months From Approved 11/30/2024
15 0 65
23 0 98
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Notice of Claim and Proof of Loss, Medium Term Guarantee EIB 10-05

table that charts list of burden
  Total Approved 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 15 65 0 -50 0 0
Annual Time Burden (Hours) 23 98 0 -75 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No