Application for Exporter Short-Term Single-Buyer Insurance

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EIB 92-64 Application for Exporter Short-Term Single-Buyer Insurance	Form and Instruction	Modified	Available
Supporting Statement EIB 92-64 10-11-12.doc	Supporting Statement A	Uploaded 2012-10-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29415	Application for Exporter Short-Term Single-Buyer Insurance	Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0018	ICR Reference No: 201210-3048-004
Status: Historical Active	Previous ICR Reference No: 200904-3048-003
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 92-64
Title: Application for Exporter Short-Term Single-Buyer Insurance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/23/2012
	Date Received in OIRA: 10/16/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	36 Months From Approved	04/30/2013
Responses	310	0	160
Time Burden (Hours)	2,480	0	160
Cost Burden (Dollars)	72,019	0	0

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Abstract: The Export Import Bank of the United States (Ex-Im Bank) pursuant to the Export Import Bank Act of 1945, as amended (12 USC 635, et seq), facilitates the financing of exports of U.S. goods and services. By neutralizing the effect of export credit insurance and loan guarantees offered by foreign governments and by absorbing credit risks that the private sector will not accept, Ex-Im Bank enables U.S. exporters to compete fairly in foreign markets on the basis of price and product quality. This collection of information is necessary, pursuant to12 USC Sec. 635 (a) (1), to determine eligibility of the applicant for Ex-Im Bank assistance. The "Application for Exporter Short-term Single-buyer Insurance" form will be used by entities involved in the export of US goods and services, to provide Ex-Im Bank with the information necessary to obtain legislatively required assurance of repayment and fulfills other statutory requirements.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 142	07/24/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 190	10/01/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Exporter Short-Term Single-Buyer Insurance	EIB 92-64	Application for Exporter Short Term Single Buyer Insurance

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	310	160	0	0	150	0
Annual Time Burden (Hours)	2,480	160	0	0	2,320	0
Annual Cost Burden (Dollars)	72,019	0	0	0	72,019	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: In the past thress years the Export Import Bank has doubled the number of applications reeived for their Exporter Short Term Single Buyer Insurance. This has resulted in an increase in Federal Costs. The Bank has also revised their hourly costs for review and record keeping.

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Annual Cost to Federal Government: $72,020

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/16/2012

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