Information Collection

Notice of Claim & Proof of Loss, Working Capital Guarantee

IC 196187 under ICR 201102-3048-003 · OMB 3048-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0035 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 10-04 Notice of Claim & Proof of Loss, Working Capital Guarantee Form
EIB 10-04 Notice of Claim and Proof of Loss, Working Capital Guara EIB10-04 Claim Filing Form - Working Capital.pdf WWW.EXIM.GOV Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Claim & Proof of Loss, Working Capital Guarantee	Agency IC Tracking Number:	EIB 10-04

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 10-04	Notice of Claim and Proof of Loss, Working Capital Guarantee	EIB10-04 Claim Filing Form - Working Capital.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: 20	Number of Respondents for Small Entity: 4

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	20	20
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	1,200	1,200

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.