View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 3420-0036	ICR Reference No: 201411-3420-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: OPIC	Agency Tracking No: OPIC-252
Title: U.S. Effects Screening Questionnaire
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: 01/09/2015
	Date Received in OIRA: 11/13/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved
Responses	200	0	0
Time Burden (Hours)	600	0	0
Cost Burden (Dollars)	15,000	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	200	200
Annual Time Burden (Hours)	600	600
Annual Cost Burden (Dollars)	15,000	15,000

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: The information requested will be used to conduct a preliminary screen for potential negative impacts on the U.S. economy or employment. It will also be used to identify performance requirements that may substantially reduce the positive trade benefits likely to accrue to the U.S. from proposed investments or proposed downstream investments to be made through OPIC-supported financial intermediaries.

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