# Submission for OMB Review
**AGENCY:**
Overseas Private Investment Corporation (OPIC).
**ACTION:**
Request for approval.
**SUMMARY:**
Under the provisions of the Paperwork Reduction Act (44 U.S.C. Chapter 35), agencies are required to publish a Notice in the *Federal Register* notifying the public that the agency has prepared an information collection for OMB review and approval.
**DATES:**
This 60 day notice is to inform the public, that this collection is being submitted to OMB for approval.
**ADDRESSES:**
Copies of the subject form may be obtained from the Agency submitting officer.
**FOR FURTHER INFORMATION CONTACT:**
OPIC Agency Submitting Officer: Essie Bryant, Record Manager, Overseas Private Investment Corporation, 1100 New York Avenue NW., Washington, DC 20527; (202) 336-8563.
**Summary Form Under Review**
*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.
*Description of Affected Public:* U.S. and foreign citizens investing in projects overseas.
*Reporting Hours:* 75 hours (1 hour per response).
*Number of Responses:* 75 per year.
*Federal Cost:* $3,819.
*Authority for Information Collection:* Sections 231, 234(a), 239(d), and 240A of the Foreign Assistance Act of 1961, as amended.
*Abstract (Needs and Uses):* The personal financial statement is supporting documentation to the OPIC application for financing (OPIC-115). The information provided is used by OPIC to determine if individuals who are providing equity investment in or credit support to a project have sufficient financial wherewithal to meet their expected obligations under the proposed terms of the OPIC financing.
Dated: August 22, 2014.
Nichole Cadiente,
Administrative Counsel, Administrative Affairs, Department of Legal Affairs.