Application for Financial Institution Short-term, Single-Buyer Insurance

Export-Import Bank of the United States Application for Financial Institution Short-Term, Single-Buyer Insurance

Documents and Forms

Document Name Document Type
Form EIB 92-41 Application for Financial Institution Short-term, Single-Buyer Insurance Form and Instruction
EIB 92-41 Application for Financial Institution Buyer Credit Short FIBC_Application_eib92-41_2024_FINAL.pdf img.exim.gov/s3fs-public/pub/pending/FIBC_Application_eib92-41_2024_FINAL_508.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Financial Institution Short-term, Single-Buyer Insurance	Agency IC Tracking Number:	EIB 92-41

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.5(a)(i)(iv)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIB 92-41	Application for Financial Institution Buyer Credit Short-Term Export Credit Insurance Policy	FIBC_Application_eib92-41_2024_FINAL.pdf	https://img.exim.gov/s3fs-public/pub/pending/FIBC_Application_eib92-41_2024_FINAL_508.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 215	Number of Respondents for Small Entity: 180

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Previously Approved
Annual Number of Responses for this IC	215	215
Annual IC Time Burden (Hours)	344	344
Annual IC Cost Burden (Dollars)	0	0

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.