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Submission for OMB Review; Comments Request
Type of Request: New form.
Title: Personal Financial Statement.
Form Number: OPIC-254.
Frequency of Use: Up front—one per individual investor/guarantor per project.
Type of Respondents: individuals.
Standard Industrial Classification Codes: N/A.
Standard Industrial Classification Codes: All.
Description of Affected Public: U.S. companies interested in making investments in companies investing overseas.
Reporting Hours: 16.5 hours (0.33 hours per response).
Number of Responses: 50 per year.
Federal Cost:$0.
Authority for Information Collection: Sections 231 and 239(d) of the Foreign Assistance Act of 1961, as amended.
Abstract (Needs and Uses): The Aligned Capital Investor Screener is a document used to screen potential investors interested in participating in OPIC’s Aligned Capital Program and, if they qualify, to place their information into the program. The Aligned Capital Program is a pilot program that OPIC has designed to align development finance with other capital, including philanthropic, socially responsible and impact investment, to enable effective deployment of that capital towards projects in the countries and sectors in which OPIC works. In order to participate, investors must be U.S. entities and meet the additional specified criteria.
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