Information Collection

Notice of Claim & Proof of Loss, Export Credit Insurance Policies

IC 196186 under ICR 202409-3048-002 · OMB 3048-0033.

Documents and Forms

Document Name Document Type
Form EIB 10-03 Notice of Claim & Proof of Loss, Export Credit Insurance Policies Form and Instruction
EIB 10-03 Notice of Claim and Proof of Loss Short-Term Insurance eib10-03.pdf img.exim.gov/s3fs-public/pub/pending/eib10-03.pdf Form and Instruction
EIB 10-03 Notice of Claim and Proof of Loss Short-Term Insurance eib10-03.pdf img.exim.gov/s3fs-public/pub/pending/eib10-03.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Claim & Proof of Loss, Export Credit Insurance Policies	Agency IC Tracking Number:	EIB 10-03

Is this a Common Form? No		IC Status: Modified

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 10-03	Notice of Claim and Proof of Loss Short-Term Insurance	eib10-03.pdf	https://img.exim.gov/s3fs-public/pub/pending/eib10-03.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: 75	Number of Respondents for Small Entity: 68

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	75	-225	300
Annual IC Time Burden (Hours)	75	-150	225
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.