OMB control number

EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs

OMB 3048-0052 · EXIMBANK.

OMB 3048-0052

EXIM Bank’s borrowers, financial institution policy holders and guaranteed lenders provide this form to U.S. exporters, who certify to the eligibility of their exports for EXIM Bank support. For loan guarantees, the completed form is required to be submitted at time of disbursement and held by either the guaranteed lender or EXIM Bank. For MT insurance, the completed forms are held by the financial institution, only to be submitted to EXIM Bank in the event of a claim filing. EXIM Bank uses the referenced form to obtain exporter certifications regarding the export transaction, content sourcing, and their eligibility to participate in USG programs with respect to co-financed transactions. These details are necessary to determine the value and legitimacy of EXIM Bank financing support and claims submitted. It also provides the financial institutions a check on the export transaction’s eligibility at the time it is fulfilling a financing request.

The latest form for EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs expires 2029-01-31 and is listed under ICR 202512-3048-004.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-3048-004 Revision of a currently approved collection 2025-12-02 Approved without change
202211-3048-004 Revision of a currently approved collection 2022-11-03 Approved without change
201912-3048-002 Revision of a currently approved collection 2019-12-12 Approved with change
201606-3048-004 New collection (Request for a new OMB Control Number) 2016-06-30 Approved without change
201604-3048-001 New collection (Request for a new OMB Control Number) 2016-04-14 Improperly submitted