Information Collection

MT MGA Disbursement Approval Request

IC 207882 under ICR 202512-3048-003 · OMB 3048-0049.

Documents and Forms

Document Name Document Type
Form EIB 12-01 MT MGA Disbursement Approval Request Form and Instruction
Form EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Approval Request MT MGA Disbursement Approval Request Form and Instruction
EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Appr eib12-01_2025.pdf img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.pdf Form and Instruction
EIB 12-01 Medium Term Master Guarantee Agreement Disbursement Appr eib12-01_2025.pdf img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MT MGA Disbursement Approval Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 404.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIB 12-01	Medium Term Master Guarantee Agreement Disbursement Approval Request	eib12-01_2025.pdf	https://img.exim.gov/s3fs-public/pub/pending/eib12-01_2025.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: 150	Number of Respondents for Small Entity: 75

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	75	75
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.

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