Information Collection

Notice of Claim & Proof of Loss, Working Capital Guarantee

IC 196187 under ICR 202102-3048-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
EIB 10-04 Notice of Claim & Proof of Loss, Working Capital Guarant eib10-04.pdf www.exim.gov/pub/pending/eib10-04.pdf Form and Instruction
EIB 10-04 Notice of Claim & Proof of Loss, Working Capital Guarant eib10-04.pdf www.exim.gov/pub/pending/eib10-04.pdf Form and Instruction

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: Unchanged

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 and Instruction	EIB 10-04	Notice of Claim & Proof of Loss, Working Capital Guarantee	eib10-04.pdf	http://www.exim.gov/pub/pending/eib10-04.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: 17	Number of Respondents for Small Entity: 4

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

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Previously Approved
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	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.