An Information Collection Request (ICR) is a federal agency's request for approval from the Office of Management and Budget (OMB) to collect information from the public.
Under the Paperwork Reduction Act (PRA), agencies must justify why the information is needed and how it will be used.
Federal agencies are required to submit an ICR whenever they create, renew, modify, or discontinue an information collection. Each ICR includes a description of the collection,
supporting materials and documentation (such as forms, surveys, or scripts), and proof that the agency has met the requirements of the PRA.
The ICR is submitted to the The Office of Information and Regulatory Affairs (OIRA) within OMB for review and approval. OIRA grants approval for a maximum of three years, after
which the collection must be renewed through a new ICR submission.
ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.
Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and July 19, 2025.
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| 202212-1850-002 | International Computer and Information Literacy Study (ICILS 2023) Main Study Questionnaire Revision | ED/IES | 2022-12-14 | 2026-01-31 | Revision of a currently approved collection
International Computer and Information Literacy Study (ICILS 2023) Main Study Questionnaire Revision
Key Information
Abstract
The International Computer and Information Literacy Study (ICILS) is a computer-based international assessment of eighth-grade students’ computer and information literacy (CIL) skills. ICILS was first administered internationally in 2013 in 21 education systems and again in 2018, when the United States participated for the first time. Our participation in this study has provided data on students’ skills and experience using technology to investigate, create, and communicate, and provided a comparison of U.S. student performance and technology access and use with those of the international peers. The next administration of ICILS will be in 2023. The 2023 study will allow the U.S. to begin monitoring the progress of its students compared to that of other nations and to provide data on factors that may influence student computer and information literacy skills. The data collected through ICILS will provide valuable information with which to understand the nature and extent of the “digital divide” and has the potential to inform understanding of the relationship between technology skills and experience and student performance in other core subject areas. ICILS is conducted by the International Association for the Evaluation of Educational Achievement (IEA), an international collective of research organizations and government agencies that create the assessment framework, assessment, and background questionnaires. The IEA decides and agrees upon a common set of standards and procedures for collecting and reporting ICILS data, and defines the study timeline, all of which must be followed by all participating countries. As a result, ICILS is able to provide a reliable and comparable measure of student skills in participating countries. In the U.S., the National Center for Education Statistics (NCES) conducts this study and works with the IEA and RTI International to ensure proper implementation of the study and adoption of practices in adherence to the IEA’s standards. Participation in ICILS will allow NCES to meet its mandate of acquiring and disseminating data on educational activities and student achievement in the United States compared with foreign nations [The Educational Sciences Reform Act of 2002 (ESRA 2002) 20 U.S.C. §9543]. The U.S. ICILS main study will be conducted from March through May 2023 and will involve a nationally-representative sample of at least 3,000 eighth-grade students from a minimum of 150 schools. Because ICILS is a collaborative effort among many parties, the United States must adhere to the international schedule set forth by the IEA, including the availability of final field test and main study plans as well as draft and final questionnaires. In order to meet the international data collection schedule and to align with recruitment for other NCES studies (e.g., TIMSS), approval for the main study sampling, recruitment, and data collection activities was approved in April 2022 (OMB# 1850-0929 v9). A 30D public comment period accompanied a set of revisions to the study timeline, study portal, main study contact materials, and the addition of COVID-related items in the questionnaires; those revisions were approved in October 2022 (OMB# 1850-0929 v10). This request is for approval of (1) updated descriptions of data collection plans; (2) updated burden estimates related to main study questionnaire changes; and (3) changes to the final adapted main study questionnaires based on review by IEA. This request is accompanied by 30 days of public comment. |
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| 202211-0660-001 | Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs | DOC/NTIA | 2022-11-15 | 2026-01-31 | Revision of a currently approved collection
Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs
Key Information
Authorizing Statutes
134 Stat. 1182 135 Stat. 429 Abstract
The National Telecommunications and Information Administration (NTIA) respectfully requests OMB’s review and renewal of a currently approved collection known as the Infrastructure Investment and Jobs Act – Application for Broadband Grant Programs. Renewal would allow the agency to continue to meet statutory deadlines and use forms that provide structured questions and guidance concerning the kind of discrete and structured data required for successful broadband grant applications. The forms create greater efficiencies within the NTIA grant program, offering applicants greater opportunities for meaningful participation in the Broadband programs than they would otherwise enjoy while lessening overall application review burdens. |
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| 202211-0693-001 | NIST Invention Disclosure and Inventor Information Collection | DOC/NIST | 2022-11-30 | 2026-01-31 | Extension without change of a currently approved collection
NIST Invention Disclosure and Inventor Information Collection
Key Information
Abstract
The NIST DN-45 Invention Disclosure Form is used to collect information pertaining to inventions created by Federal employees or by non-Federally employed individuals who have created an invention using NIST laboratory facilities as NIST Associates. The collection of this information is required to protect the United States rights to inventions created using Federal resources. The information collected on the form allows the Government to determine: 1) if an invention has been created; 2) the status of any statutory bar that pertains to the potential invention or that may pertain to the invention in the future. The information collected may allow the Government to begin a patent application process The Inventor Information Sheet is used to collect from individuals who have been named as potential inventors on a NIST Invention Disclosure Form. The collection of this information is used for multiple purposes: 1) Some of the information may be required to file a patent application, if NIST seeks to protect a federally owned invention, pursuant to 35 USC §207. 2) The form, in part, is a statement made by the respondent declaring whether the respondent considers herself/himself to be an inventor. 3) Some of the information is needed for NIST to determine potential assignees with which NIST would potentially negotiate consolidation of rights and other patent related matters. 4) Some of the information helps NIST determine under which statutory authority NIST may consolidate rights in an invention with other potential assignees. 5) Country citizenship information is required to determine whether a Scientific and Technology agreement or treaty with the respondent’s country may impact the U.S. Government’s rights to the invention. . The information is collected by the Technology Partnerships Office and shared with the Office of Chief Counsel at NIST. The information may also be shared with non-Governmental entities that may have ownership rights to the potential invention. The Government collects this information to execute the policy and objective of the Congress expressed at 35 U.S.C. §200. 35 U.S.C. §207 authorizes Federal agencies to apply for, obtain, and maintain patents or other forms of protection … on inventions in which the Federal Government owns a right, title, or interest. 35 U.S.C. §207 also authorizes each Federal agency to undertake all other suitable and necessary steps to protect and administer rights to federally owned inventions on behalf of the Federal government. The information collected through the NIST DN-45 is necessary for NIST to execute the authority granted at 35 U.S.C. §207. |
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| 202209-1210-001 | Statutory Exemption for Cross-Trading of Securities | DOL/EBSA | 2022-12-14 | 2026-01-31 | Extension without change of a currently approved collection
Statutory Exemption for Cross-Trading of Securities
Key Information
Abstract
The Statutory Exemption for Cross-Trading of Securities regulation (29 CFR 2550.408b-19) implements the content requirements for the written cross-trading policies and procedures required under section 408(b)(19)(H) of ERISA, as added by section 611(g) of the Pension Protection Act of 2006, Pub. L. 109-280 (the PPA). Section 611(g)(1) of the PPA created a new statutory exemption, added to section 408(b) of ERISA as subsection 408(b)(19), that exempts from the prohibitions of sections 406(a)(1)(A) and 406(b)(2) of ERISA those cross-trading transactions involving the purchase and sale of a security between an account holding assets of a pension plan and any other account managed by the same investment manager, provided that certain conditions are satisfied. The information collection provisions of this regulation are intended to carry out the Congressional directive to specify the contents of the policies and procedures required under the new statutory exemption. The Department believes the collections are necessary to safeguard plan assets by requiring that investment managers relying on the statutory exemption effect cross-trades in accordance with policies and procedures that are fair and equitable to all accounts participating in the cross-trading program. The information collection provisions of the regulation, along with other requirements of the statutory exemption, are also intended to ensure that plan fiduciaries have adequate information to make an informed decision regarding the plan’s initial and continued participation in the investment manager’s cross-trading program. |
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| 202211-0584-008 | Senior Farmers' Market Nutrition Program (SFMNP) | USDA/FNS | 2022-12-14 | 2026-01-31 | Revision of a currently approved collection
Senior Farmers' Market Nutrition Program (SFMNP)
Key Information
Abstract
The reporting and recordkeeping burdens covered by this information collection request (ICR) include requirements that involve the certification of SFMNP participants; nutrition education that is provided to participants; the authorization, training, and monitoring of farmers, farmers’ markets, roadside stands (authorized outlets); and financial and coupon reconciliation management systems. |
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| 202211-0648-004 | Pacific Coast Groundfish Trawl Rationalization Program Permit and License Information Collection | DOC/NOAA | 2022-11-02 | 2026-01-31 | Revision of a currently approved collection
Pacific Coast Groundfish Trawl Rationalization Program Permit and License Information Collection
Key Information
Abstract
This request is for revision and extension of a current information collection pursuant to final rule 0648-BL41 to incorporate form modifications to reflect the adoption of the following council adopted preferred alternatives: 1. Move the season start date for the primary whiting season start date north of 40 degrees 30 minutes north latitude from May 15th to May 1st. Move all administrative deadlines associated with the season start date to 45 days prior to May 1. 2. Remove the mothership processor obligation deadline from regulation. 3. Remove the mothership processor cap from regulation. 4. Allow a vessel to be registered to a mothership and catcher-processor endorsed permit in the same year, with unlimited transfers. The trawl rationalization program was implemented in January 2011 and continues to operate consistent with regulations given at 50 CFR 660. Since that time, the Council and NMFS have been addressing implementation issues as they arise, through the public Council process. Under the trawl rationalization program, new permits, accounts, endorsements, and licenses were established. These consist of: QS permits/accounts, vessel accounts, FRSLs, MS endorsements on certain limited entry trawl permits, MS/CV endorsements on certain limited entry trawl permits, C/P endorsements on certain limited entry trawl permits, one or more MS coop permits, and a C/P coop permit. NMFS collects information from program participants required to: establish new permits, accounts, and licenses; renew permits, accounts, and licenses; allow trading of QS percentages and QP in online QS and vessel accounts and allow transfer of catch history assignments between limited entry trawl permits; track compliance with program control limits; and implement other features of the regulations pertaining to permits and licenses. In conjunction with the final rule 0648-BL41, NMFS is removing a few reporting requirements for trawl fishery participants. This is because these reporting requirements only exist to allow administration and enforcement of regulatory provisions that are being proposed to be eliminated. The revisions include removing the requirement for mothership permit holders to submit an ownership identification form when they annually renew the permit (a reduction of 6 respondents, the form remains for other participant types). Additionally, NMFS is removing the mutual agreement exception collection and the processor obligation collection for the Mothership sector, as they are no longer needed due to the changes proposed in 0648-BL41 that remove the requirement for catcher vessels in the mothership sector to obligate to a mothership processor. |
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| 202211-0704-004 | DoD-wide Data Collection and Analysis for the Department of Defense Qualitative and Quantitative Data Collection in Support of the Independent Review Commission on Sexual Assault Recommendations | DOD/DODDEP | 2022-11-29 | 2026-01-31 | New collection (Request for a new OMB Control Number)
DoD-wide Data Collection and Analysis for the Department of Defense Qualitative and Quantitative Data Collection in Support of the Independent Review Commission on Sexual Assault Recommendations
Key Information
Abstract
The Office of the Undersecretary of Defense (Personnel and Readiness; OUSD(P&R)) within the Department of Defense (DoD) is requesting Office of Management and Budget (OMB) clearance for DoD-wide quantitative and qualitative data collection in support of the implementation and evaluation of the Secretary of Defense-approved Independent Review Commission on Sexual Assault in the Military’s (IRC) 82 recommendations. These recommendations are detailed in the Secretary of Defense Memo “Commencing DoD Actions and Implementation to Address Sexual Assault and Sexual Harassment in the Military." These information collections will be conducted by the Office of the Secretary of Defense (OSD) components, Military Departments, Military Services, and/or National Guard Bureau (NGB) (hereafter referred to as DoD). DoD will collect quantitative and qualitative data through in-person and computer/web-based surveys and assessments, focus groups, interviews, site visits, panel discussions, user-experience testing, and message development and testing. Information collection efforts will align to the four IRC Lines of Effort (LOE) that guided the development of the IRC’s recommendations: LOE 1 – Accountability; LOE 2 – Prevention; LOE 3 – Climate and Culture; and LOE 4 – Victim Care and Support. Although research studies may also address risk factors outside of sexual assault, DoD will primarily use this research to inform improvements to or the development of sexual assault prevention and response programs, methods, and policies. |
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| 202211-0910-002 | Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs | HHS/FDA | 2022-12-21 | 2026-01-31 | Extension without change of a currently approved collection
Collection of Conflict of Interest Information for Participation in Food and Drug Administration Non-Employee Fellowship and Traineeship Programs
Key Information
Abstract
FDA supports intramural training programs through non-employee fellowship and traineeship programs. Non-employee fellows and trainees will submit information about financial investments and current relationships. The purpose of this information allows FDA to determine if there is a conflict of interest between the fellow’s or trainee’s financial and relationship interests and their activities at FDA. |
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| 202211-0935-001 | Consumer Assessment of Healthcare Providers and Systems (CAHPS®)Home and Community Based Services (HCBS) Survey Database | HHS/AHRQ | 2022-11-22 | 2026-01-31 | Reinstatement without change of a previously approved collection
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)Home and Community Based Services (HCBS) Survey Database
Key Information
Abstract
The CAHPS Home and Community-Based Services Survey is the first cross-disability survey of home and community-based service beneficiaries’ experience receiving long-term services and supports. It is designed to facilitate comparisons across state Medicaid HCBS programs throughout the country that target adults with disabilities, e.g., including frail elderly, individuals with physical disabilities, persons with developmental or intellectual disabilities, those with acquired brain injury and persons with severe mental illness. The HCBS CAHPS Survey was developed by the Centers for Medicare & Medicaid Services (CMS) for voluntary use by state Medicaid programs, including both fee-for-service HCBS programs as well as managed long-term services and supports (MLTSS) programs. States with adequate sample sizes may consider using survey metrics in value-based purchasing initiatives. The HCBS-CAHPS Database will serve as a primary source of data available to states, agency programs and researchers to help answer important questions related to beneficiary experiences. AHRQ, through its contractor, will collect and make available de-identified survey data, enabling HCBS programs to identify areas where quality can be improved. Rationale for the information collection. Aggregated HCBS Database results will be made publicly available on AHRQ’s CAHPS website. Technical assistance will be provided by AHRQ through its contractor, Westat at no charge to programs to facilitate the access and use of these materials for quality improvement and research. Technical assistance will also be provided to support HCBS-CAHPS data submission. |
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| 202211-0938-001 | Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103 (CMS-1771) | HHS/CMS | 2022-11-04 | 2026-01-31 | Extension without change of a currently approved collection
Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103 (CMS-1771)
Key Information
Authorizing Statutes
18 Stat. 1814 Abstract
This form is used in connection with claims for emergency hospital services provided by hospitals that do no have an agreement in effect under Section 1866 of the Social Security Act. 42 CFR 424.103 (b) requires that before a non-participating hospital may be paid for emergency services rendered to a Medicare beneficiary, a statement must be submitted that is |
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| 202211-0938-003 | Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users (CMS-10789) | HHS/CMS | 2022-11-10 | 2026-01-31 | New collection (Request for a new OMB Control Number)
Customer Satisfaction Survey for Enterprise Portal Services (EPS) Users (CMS-10789)
Key Information
Abstract
The goal of this Generic clearance and its surveys is to capture feedback from actual users of the system immediately after they finish using the system, while their user experience, negative or positive, is still fresh in their minds. This user feedback will allow our team to discover areas of improvement within EPS. It will help us improve the user experience, provide better service/support, improve marketing strategies, and identify gaps/issues that require resolution. For example, if we get several responses through the collection instrument stating that users feel that the EPS system is slow, we can use that feedback to invest efforts into increasing the EPS response times. As the feedback is analyzed and implemented over time, the survey questions will evolve to support implemented changes, providing the EPS team with the most up-to-date feedback on system improvement. By using a Generic Instrument Collection, the survey will evolve over time. Within the CMS EPS, features are frequently added, and sometimes even removed. The team needs to be able to add new survey questions, specific to those new features, in order to capture valuable feedback on the effectiveness, ease-of-use, pain points, and areas of improvement for the feature. When features are removed from the CMS EPS, questions relevant to those features must be modified or removed from the survey as well. In general, given that the CMS EPS is a dynamic system, designed to meet enterprise needs that change over time, a Generic Instrument Collection will allow the survey to evolve as the system evolves, and remain relevant, capturing up-to-date feedback on the system. |
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| 202209-1210-003 | Class Exemption for Certain Transactions Involving Purchase of Securities where Issuer May Use Proceeds to Reduce or Retire Indebtedness to Parties in Interest (PTE 1980-83) | DOL/EBSA | 2022-12-14 | 2026-01-31 | Extension without change of a currently approved collection
Class Exemption for Certain Transactions Involving Purchase of Securities where Issuer May Use Proceeds to Reduce or Retire Indebtedness to Parties in Interest (PTE 1980-83)
Key Information
Abstract
This Class Exemption exempts from the prohibited transaction provisions of ERISA certain transactions involving an employee benefit plan's purchase of securities that may aid the issuer of the securities, who is a party in interest to the plan, in reducing or retiring its indebtedness to a third party. |
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| 202209-1210-004 | Petition for Finding under the Employee Retirement Income Security Act Section 3(40) | DOL/EBSA | 2022-12-20 | 2026-01-31 | Extension without change of a currently approved collection
Petition for Finding under the Employee Retirement Income Security Act Section 3(40)
Key Information
Abstract
The Department's regulations at 29 CFR 2570.150 et seq. provide procedures for an entity against whom state jurisdiction has been asserts to petition the Secretary to make a finding under section 3(40)(A)(i) of ERISA that the entity is established or maintained under or pursuant to one or more collective bargaining agreements. The regulations establish procedures for initiating an administrative proceeding before the Office of Administrative Law Judges (OALJ) and establish that an OALJ decision shall constitute a finding under section 3(40)(A)(i) of ERISA. The regulations also provide for an appeal of an OALJ decision to the Secretary. |
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| 202211-1840-002 | Application for grants under the Native American-Serving Nontribal Institutions Program ALN# 84.031X (1894-0001) | ED/OPE | 2022-11-22 | 2026-01-31 | Extension without change of a currently approved collection
Application for grants under the Native American-Serving Nontribal Institutions Program ALN# 84.031X (1894-0001)
Key Information
Abstract
The Title III, Part A Native American-Serving Nontribal Institutions (NASNTI) Program provides grants and related assistance to NASNTI to enable such institutions to plan, develop, undertake, and carry out activities to improve and expand such institutions' capacity to serve Native American and low-income individuals. |
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| 202211-2120-007 | Service Availability Prediction Tool (SAPT) | DOT/FAA | 2022-12-15 | 2026-01-31 | Extension without change of a currently approved collection
Service Availability Prediction Tool (SAPT)
Key Information
Abstract
The Federal Aviation Administration (FAA) is developing a web-based tool, Service Availability Prediction Tool (SAPT), to assist aircraft operators in achieving compliance with the requirements of 14 CFR §§ 91.103, 91.225, and 91.227. Depending on the specific nature of the operator’s request, varying levels of information are necessary for the FAA to process the requests made via this tool. The SAPT has three main tools: Receiver Autonomous Integrity Monitoring (RAIM) SAPT, Automatic Dependent Surveillance – Broadcast (ADS-B) SAPT, and ADS-B Deviation Authorization Pre-Flight Tool (ADAPT). The SAPT user may have to use one or more of these tools depending upon the nature of their request. The SAPT continually collects Global Positioning System (GPS) constellation status (e.g., GPS almanacs) and FAA surveillance status data (e.g., surveillance radars (SSR) and wide area multilateration (WAM)) in order to assess the accuracy and integrity of GPS, FAA backup surveillance availability, and other data in real time. This information is used to determine navigation or to support air traffic control services in terminal, en route airspace, and in airport surface operations. SAPT models the GPS system and matches it with certain specified GPS avionics performance characteristics to determine if there is sufficient position information predicted throughout the flight to use for navigation or surveillance. |
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| 202211-2137-002 | The Natural Gas Distribution Infrastructure Safety and Modernization Grant Program | DOT/PHMSA | 2022-11-14 | 2026-01-31 | Revision of a currently approved collection
The Natural Gas Distribution Infrastructure Safety and Modernization Grant Program
Key Information
Abstract
This information collection covers the collection of applicant data from municipality and community-owned utilities that are interested in applying to receive funds from the “Natural Gas Distribution Infrastructure Safety and Modernization Grant Program.” Solicitation for grants under the Natural Gas Distribution Infrastructure Safety and Modernization Grant Program is voluntary. No eligible entity is required to apply. To be eligible, however, municipality and community-owned utilities must meet all the requirements set forth in the law. Therefore, DOT must collect certain information from applicants to determine eligibility and evaluate applications. DOT must also verify the accuracy of grant requests from approved applicants, in accordance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and other laws and regulations governing Federal financial assistance programs, including (but not limited to) the Anti Deficiency Act, the Federal Funding Accountability and Transparency Act (FFATA), the Payment Integrity Information Act of 2019, and 2 CFR part 200, among others. This information collection also covers the collection of data from grant recipients. PHMSA expects to receive approximately 100 applications from potential grantees. PHMSA estimates that it will take the 100 applicants approximately 65 hours to compile and submit the forms required to complete the application process for an annual burden of 6,500 hours. PHMSA estimates that 100 grant recipients will spend 5 hours, annually, submitting post-award reports for an annual burden of 500 hours. Therefore, PHMSA estimates that there will be a total of 200 responses (100 applicants + 100 grant recipients) for an aggregate total annual burden for the information collection of 7,000 hours (6,500 hours for applications + 500 hours for post-award reports). |
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| 202211-2501-001 | HUD Standardized Grant Application Forms | HUD/HUDSEC | 2022-11-10 | 2026-01-31 | Reinstatement with change of a previously approved collection
HUD Standardized Grant Application Forms
Key Information
Abstract
The subject information collection is required to for the competitive grant applications and to ensure eligibility of applicants for funding. This extension further standardizes the format of information previously included in the information collections for grant applications, but does not significantly increase the information burden. |
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| 202211-3048-002 | MT MGA Disbursement Approval Request | EXIMBANK | 2022-11-03 | 2026-01-31 | Extension without change of a currently approved collection
MT MGA Disbursement Approval Request
Key Information
Abstract
The Export Import Bank of the United States (EXIM Bank) pursuant to the Export Import Bank Act of 1945, as amended (12 USC 635, et seq), facilitates the finance of export of U.S. goods and services. By neutralizing the effect of export credit insurance and guarantees offered by foreign governments and by absorbing credit risks that the private sector will not accept, EXIM Bank enables U.S. exporters to complete fairly in foreign markets on the basis of price and product. This collection of information is necessary, pursuant to 12 USC Sec. 635 (a) (1), to determine eligibility of the export for EXIM Bank assistance. This form will enable EXIM Bank to identify the specific details of the export transaction. These details are necessary for determining the eligibility of disbursements for approval. |
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| 202211-3048-003 | Credit Guarantee Facility Disbursement Approval Request | EXIMBANK | 2022-11-03 | 2026-01-31 | Revision of a currently approved collection
Credit Guarantee Facility Disbursement Approval Request
Key Information
Abstract
The Export Import Bank of the United States (Ex-Im Bank) pursuant to the Export Import Bank Act of 1945, as amended (12 USC 635, et seq), facilitates the finance of export of U.S. goods and services. By neutralizing the effect of export credit insurance and guarantees offered by foreign governments and by absorbing credit risks that the private sector will not accept, Ex-Im Bank enables U.S. exporters to complete fairly in foreign markets on the basis of price and product. This collection of information is necessary, pursuant to 12 USC Sec. 635 (a) (1), to determine eligibility of the export for Ex-Im Bank assistance. This form will enable Ex-Im Bank to identify the specific details of the export transaction. These details are necessary for determining the eligibility of disbursements for approval. Ex-Im Bank staff review this information to assist in determining that each disbursement under a Credit Guarantee Facility meets all of the terms and conditions for approval. |
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| 202211-3048-004 | EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs | EXIMBANK | 2022-11-03 | 2026-01-31 | Revision of a currently approved collection
EIB 15-04 Exporter’s Certificate For Co-Financed Loan, Guarantee & MT Insurance Programs
Key Information
Abstract
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. |
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