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

Forms and Documents

Document Name	Status
Form EIB 92-79 Export-Import Bank of the United States Commissioned Broker Application Form Form and Instruction	Modified
Supporting_Statement_5-28-14.doc Supporting Statement A	2014-06-11

IC Document Collections

IC ID	Document Title	Status
179527	Export-Import Bank of the United States Commissioned Broker Application Form Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0024	ICR Reference No: 201406-3048-009
Status: Historical Active	Previous ICR Reference No: 201103-3048-001
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 92-79
Title: Export-Import Bank of the United States (Ex-Im Bank) Broker Registration Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/10/2015
	Date Received in OIRA: 06/11/2014
Terms of Clearance: Prior to renewal, Export-Import Bank will ensure a PRA and Privacy Act statement appears on the form.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved	02/28/2015
Responses	17	0	50
Time Burden (Hours)	4	0	100
Cost Burden (Dollars)	0	0	0

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Abstract: This form is used by insurance brokers to register with Export-Import Bank. It provides Export-Import Bank staff with the information necessary to make a determination of the eligibility of the broker to receive commission payments under Export-Import Bank's credit insurance programs.

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Authorizing Statute(s): US Code: 12 USC 635, et seq. Name of Law: Export-Import Bank Act of 1945
  

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:
	79 FR 55	03/21/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 111	06/10/2014
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Export-Import Bank of the United States Commissioned Broker Application Form	EIB 92-79	Broker Registration Form

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ICR Summary 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	17	50	0	-33	0	0
Annual Time Burden (Hours)	4	100	0	-96	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: It was noted, that the total number of responders is normally lower, averaging 17 per annum, rather than previously estimated 50 responders.

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Annual Cost to Federal Government: $1,734

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: 06/11/2014

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