Information Collection

Exporter's Certificate for Loan Guarantee & Medium Term Insurance Programs

IC 203723 under ICR 201510-3048-001 · OMB 3048-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0043 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 11-05 Exporter's Certificate for Loan Guarantee & Medium Term Insurance Programs Form and Instruction
EIB 11-05 Exporter’s Certificate for Loan Guarantee & MT Insurance EIB11-05_MT_LT_Exporter_Certificate.pdf www.exim.gov/sites/default/files/pub/pending/EIB11-05_MT_LT_Exporter_Certificate.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exporter's Certificate for Loan Guarantee & Medium Term Insurance Programs	Agency IC Tracking Number:	EIB 11-05

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIB 11-05	Exporterâs Certificate for Loan Guarantee & MT Insurance Programs	EIB11-05_MT_LT_Exporter_Certificate.pdf	http://www.exim.gov/sites/default/files/pub/pending/EIB11-05_MT_LT_Exporter_Certificate.pdf	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: 4,000	Number of Respondents for Small Entity: 2,000

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,000	3,946	54
Annual IC Time Burden (Hours)	2,000	1,934	66
Annual IC Cost Burden (Dollars)	0	-2,093	2,093

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.