Information Collection

MT MGA Disbursement Approval Request

IC 207882 under ICR 202512-3048-003 · OMB 3048-0049.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 12-01 MT MGA Disbursement Approval Request	Form and Instruction
Form EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Approval Request MT MGA Disbursement Approval Request	Form and Instruction
EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Appr eib12-01_2025.pdf img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.pdf	Form and Instruction
EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Appr eib12-01_2025.pdf img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 404.1

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	EIB 12-01			https://img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.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: 150

Number of Respondents for Small Entity: 75

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

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.

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