Information Collection

Payment Default Report

IC 189169 under ICR 200905-3048-002 · OMB 3048-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0028 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 09-01 Payment Default Report Form
EIB 09-01 Payment Default Report Payment Default Report (Online) --4-2-09.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Payment Default Report	Agency IC Tracking Number:	EIB 09-01

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 09-01	Payment Default Report	Payment Default Report (Online) --4-2-09.doc		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: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
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.