Information Collection

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

IC 179527 under ICR 201103-3048-001 · OMB 3048-0024.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EIB 92-79 Export-Import Bank of the United States Commissioned Broker Application Form	Form
EIB 92-79 Commission Broker Application Form EIB_92_79_UPDATED4-19-11.pdf www.exim.gov	Form

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:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EIB 92-79	Commission Broker Application Form	EIB_92_79_UPDATED4-19-11.pdf	www.exim.gov	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.