Used Equipment Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0039 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 11-03 Used Equipment Questionnaire Form and Instruction
EIB 11-03 Used Equipment Questionnaire eib11-03-Published.pdf www.exim.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Used Equipment Questionnaire	Agency IC Tracking Number:	EIB 11-03

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIB 11-03	Used Equipment Questionnaire	eib11-03-Published.pdf	www.exim.gov	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: 1,000	Number of Respondents for Small Entity: 850

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

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	9,800	9,800

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.