OMB control number

Personal Financial Statement

OMB 3420-0035 · OPIC.

OMB 3420-0035

The personal financial statement is supporting documentation to the OPIC Application for Project Finance (OPIC-115). The information provided is used by OPIC to determine if individuals who are providing equity investment in or credit support to a project have sufficient financial wherewithal to meet their expected obligations under the proposed terms of the OPIC financing.

The latest form for Personal Financial Statement expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form OPIC-254 Personal Financial Statement Form
OPIC Form 254 - Justification - Supporting Statement.doc Supporting Statement A
Personal Financial Statement Form -- Version showing Edits.docx Supplementary Document
Personal Financial Statement Form

All Historical Document Collections

201712-3420-001 Approved without change	Revision of a currently approved collection	2017-12-01
201411-3420-003 Approved with change	New collection (Request for a new OMB Control Number)	2014-11-13