Information Collection

Notice of Claim & Proof of Loss, Export Credit Insurance Policies

IC 196186 under ICR 201102-3048-002 · OMB 3048-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0033 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 10-03 Notice of Claim & Proof of Loss, Export Credit Insurance Policies Form
EIB 10-03 Notice of claim & Proof of Loss, Export Credit Insurance EIB 10-03 Combo Claim Filing Form - Insurance.pdf www.exim.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Claim & Proof of Loss, Export Credit Insurance Policies	Agency IC Tracking Number:	EIB 10-03

Is this a Common Form? No		IC Status: New

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	EIB 10-03	Notice of claim & Proof of Loss, Export Credit Insurance Policies Application	EIB 10-03 Combo Claim Filing Form - Insurance.pdf	www.exim.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 33

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	18,000	18,000

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.