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Federal forms, ICRs, and supporting documents

Information Collection Request

EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs

ICR 202512-3048-004 · OMB 3048-0052 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form EIB 15-04 Exporter’s Certificate for Co-Financing Transactions Form and Instruction Modified Available
Form EIB 15-04 Exporter's Certificate for Co-Financed Loan, Guarantee & MT Insurance Programs. Form and Instruction Modified Repair queued
EIB 15-04 Supporting Statement_2025.docx Supporting Statement A Uploaded 2025-12-02 Repair queued
EIB 15-04 Supporting Statement_2025.docx Supporting Statement A Uploaded 2025-12-02 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
221077 Exporter's Certificate for Co-Financed Loan, Guarantee & MT Insurance Programs. Form and Instruction ModifiedExporter’s Certificate for Co-Financing Transactions
221077 Exporter's Certificate for Co-Financed Loan, Guarantee & MT Insurance Programs. Form and Instruction Modified
ICR Details
3048-0052 202512-3048-004
Active 202211-3048-004
EXIMBANK EIB 15-04
EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs
Revision of a currently approved collection   No
Regular
Approved without change 01/28/2026
Retrieve Notice of Action (NOA) 12/02/2025
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 01/31/2026
30 0 30
15 0 15
0 0 0
EXIM Bank’s borrowers, financial institution policy holders and guaranteed lenders provide this form to U.S. exporters, who certify to the eligibility of their exports for EXIM Bank support. For loan guarantees, the completed form is required to be submitted at time of disbursement and held by either the guaranteed lender or EXIM Bank. For MT insurance, the completed forms are held by the financial institution, only to be submitted to EXIM Bank in the event of a claim filing. EXIM Bank uses the referenced form to obtain exporter certifications regarding the export transaction, content sourcing, and their eligibility to participate in USG programs with respect to co-financed transactions. These details are necessary to determine the value and legitimacy of EXIM Bank financing support and claims submitted. It also provides the financial institutions a check on the export transaction’s eligibility at the time it is fulfilling a financing request.
US Code: 12 USC 635 Name of Law: Export Import Bank Act of 1945
  
None
Not associated with rulemaking
  90 FR 43603 09/10/2025
90 FR 51755 11/18/2025
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 30 0 0 0 0
Annual Time Burden (Hours) 15 15 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$127
No
    No
    No
No
No
No
No
Alla Lake 202 565-3352 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/02/2025