View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3420-0033	ICR Reference No: 201411-3420-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPIC	Agency Tracking No: OPIC-255
Title: Aligned Capital Investee Opt-In
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/08/2015
	Date Received in OIRA: 11/12/2014
Terms of Clearance: OPIC should evaluate the pilot’s utility over the initial three years to determine if it should become a permanent collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	75	0	0
Time Burden (Hours)	38	0	0
Cost Burden (Dollars)	2,813	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	75	75
Annual Time Burden (Hours)	38	38
Annual Cost Burden (Dollars)	2,813	2,813

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New Form

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