Notice Of Claim And Proof Of Loss Medium - Term Insurance

Notice of Claim and Proof of Loss Medium-Term Insurance

Documents and Forms

Document Name Document Type
Form EIB 24-06 NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE Form and Instruction
EIB 24-06 NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANC EIB 24-06 Notice of Claim Proof of Loss - MTI 4-2024.pdf img.exim.gov/s3fs-public/pub/pending/eib24-06.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE	Agency IC Tracking Number:	EIB 24-06

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR 635

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EIB 24-06	NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE	EIB 24-06 Notice of Claim Proof of Loss - MTI 4-2024.pdf	https://img.exim.gov/s3fs-public/pub/pending/eib24-06.pdf	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: 25	Number of Respondents for Small Entity: 22

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

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.