Information Collection

Application for Medium-TermInsurance or Guarantee

IC 205197 under ICR 201905-3048-003 · OMB 3048-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0014 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 03-02 Application for Medium-TermInsurance or Guarantee Form and Instruction
EIB 03-02 EIB 03-02, APPLICATION FOR MEDIUM-TERM INSURANCE OR GUAR eib03-02.pdf www.exim.gov/sites/default/files/pub/pending/eib03-02.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Medium-TermInsurance or Guarantee	Agency IC Tracking Number:	EIB 03-02

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 03-02	EIB 03-02, APPLICATION FOR MEDIUM-TERM INSURANCE OR GUARANTEE	eib03-02.pdf	https://www.exim.gov/sites/default/files/pub/pending/eib03-02.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: 400	Number of Respondents for Small Entity: 320

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	0	400
Annual IC Time Burden (Hours)	800	320	480
Annual IC Cost Burden (Dollars)	0	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.