Information Collection

SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee

IC 202624 under ICR 201702-3048-001 · OMB 3048-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0003 can be found here:

Documents and Forms

Document Name Document Type
Form FORM EIB-SBA Form SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee Form and Instruction
EIB 84-01 SBA & Ex-Im ank Joint Application for Working Capital Gu EIB84-01-FINAL.pdf www.exim.giv Form and Instruction
FORM EIB-SBA Form SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL EIB84-01 Revised 2017 per SBA OMB comments.pdf www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf Form and Instruction
Justification for updating the Supporting Statement for OMB 3048.docx Justificatin for Change in Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SBA and Ex-Im Bank Joint Application for Export Working Capital Guarantee	Agency IC Tracking Number:	EIB 84-01

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FORM EIB-SBA Form 84-01	SBA & EXIM JOINT APPLICATION FOR EXPORT WORKING CAPITAL GUARANTEE	EIB84-01 Revised 2017 per SBA OMB comments.pdf	http://www.exim.gov/sites/default/files/pub/pending/eib84-01.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	EIB 84-01	SBA & Ex-Im ank Joint Application for Working Capital Guarantee	EIB84-01-FINAL.pdf	www.exim.giv	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 663	Number of Respondents for Small Entity: 153

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

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	663	-120	783
Annual IC Time Burden (Hours)	1,658	-43,756	45,414
Annual IC Cost Burden (Dollars)	0	-132,719	132,719

Documents for IC

Title	Document	Date Uploaded
Justificatin for Change in Supporting Statement	Justification for updating the Supporting Statement for OMB 3048.docx	02/22/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.