Export-Import Bank of the United States Commissioned Broker Application Form

Export-Import Bank of the United States (Ex-Im Bank) Broker Registration Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3048-0024 can be found here:

Documents and Forms

Document Name Document Type
Form EIB 92-79 Export-Import Bank of the United States Commissioned Broker Application Form Form
EIB 92-79 Broker Registration Form eib92-79.pdf www.exim.gov Form

Information Collection (IC) Details

IC Title:	Export-Import Bank of the United States Commissioned Broker Application Form	Agency IC Tracking Number:	EIB 92-79

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 12 CFR USC 635 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 92-79	Broker Registration Form	eib92-79.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: 25	Number of Respondents for Small Entity: 15

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

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	25	-25	50
Annual IC Time Burden (Hours)	50	-50	100
Annual IC Cost Burden (Dollars)	2,500	2,500	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.