Supporting Statement EIB 05-01 June 2015

Supporting Statement EIB 05-01 June 2015.doc

Marketing Fax Back Response Form

OMB: 3048-0029

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SUPPORTING STATEMENT

FOR PAPERWORK REDUCTION ACT SUBMISSION

FORM EIB 05-01



General Instructions

A Supporting Statement, including the text of the notice to the public required by 5 CFR 1320.5(a)(i)(iv) and its actual or estimated date of publication in the Federal Register, must accompany each request for approval of a collection of information. The Supporting Statement must be prepared in the format described below, and must contain information specified in Section A below. If an item is not applicable, provide a brief explanation. OMB reserves the right to require the submission of additional information with respect to any request for approval.


Specific Instructions


  1. Justification


  1. Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collection. Attach a copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information.

    The Export Import Bank of the United States, pursuant to the Export Import Bank Act of 1945, as amended (12 USC 635, et.seq.), facilitates the finance of the export of U.S. goods and services. The Fax Response Form will be used as a marketing tool for the Bank to assist small businesses interested in exporting their goods.

  2. Indicate how, by whom and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received form the current collection.

    This form will be completed by entities who wish to receive advice on how they can increase their international sales with the assistance of the Export-Import Bank.

  3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submissions of responses, and the basis for the decision for adopting this means of collection. Also describe any consideration of using information technology to reduce burden.

    An electronic version of this form is also available for responding.

  4. Describe effort to identify duplication. Show specifically why any similar information already available cannot be used or modified for use for the purposes described in Item 2 above.

    If information already exists on a particular U.S. company, we will simply use the form to update any existing or missing data.



  1. If the collection of information impacts small businesses or other small entities describe any methods used to minimize burden.

    This form has been designed to simplify the fulfillment process. We only ask questions that help our consultants evaluate the companies’ export challenges. Furthermore, we try to limit writing or typing by providing answer options that just need a check mark.

  2. Describe the consequence to Federal program or policy activities if the collection is not conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.

    Not applicable.

  3. Explain any special circumstances that would cause an information collection to be conducted in a manner”
    *requiring respondents to report information to the agency more often than quarterly;
    *requiring respondents to prepare a written response to a collection of information in fewer than 30 days after receipt of it;
    *requiring respondents to submit more than an original and two copies of any document;
    *in connection with a statistical survey, that is not designed to produce valid or reliable results that can be generalized to the universe of study;
    *requiring the use of statistical data classification that has not been reviewed and approved by OMB;
    *that includes a pledge of confidentiality that is not supported by authority established in statute or regulation, that is not supported by disclosure and data security policies that are consistent with the pledge, or which unnecessarily impedes sharing of data with other agencies for compatible confidential use; or
    *requiring respondents to submit proprietary trade secrets, or other confidential information unless the agency can demonstrate that it has instituted procedures to protect the information’s confidentiality to the extent permitted by law.

    This collection is consistent with guidelines in 5 CRF 1320.6.

  4. If applicable, provide a copy and identify the date and page number of publication in the Federal Register of the agency’s notice soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency in response to these comments.

    No comments were received.

  5. Explain any decision to provide any payment or gift to respondents, other than remuneration of contractors or grantees.

    Not applicable.

  6. Describe any assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy.

    Ex-Im Bank and its officers and employees are subject to the Trade Secrets Act, 19 USC Sec 1905, which requires Ex-Im Bank to protect confidential business and commercial information from disclosure., as well as, 12 CRF 404.1, which provides that, except as required by law, Ex-Im Bank will not disclose information provided in confidence without the submitter’s consent.

  7. Provide additional justification for any question of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered provides. This justification should include the reasons why the agency considered the questions necessary, the specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent.

    Not applicable.

  8. Provide estimates of the hour burden of the collection of information. The statement should include
    *the number of respondents; 500
    *the frequency of response; Once per year
    *annual hour burden; and 42 hours

    *an explanation of how the burden was estimated. Form completed in test scenario

  9. Provide an estimate for the total annual cost burden to respondents or records keepers resulting from the collection of information. (Do not include the cost of any hour burden shown in items 12 and 14).

    Not applicable (zero)



    1. Provide estimates of annualized costs to the Federal government.

      Reviewing time per hour: 5 minutes

Reviewing time per year 25 hours
Average Wages per hour $42.50
Average cost per year $1,062.5
(time * wages)
Benefits and overhead 20%
Total Government Cost $1,275

  1. For collection of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will bee used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions.

    Not Applicable

  2. If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.

    Not applicable

  1. Collection of Information Employing Statistical Methods

The agency should be prepared to justify its decision not to use statistical methods in any case where such methods might reduce burden or improve accuracy of results.


Statistical methods are not used in this information collection.

File Typeapplication/msword
File TitleSupporting Statement for Paperwork Reduction Act Submissions
Authorwhitt
Last Modified ByBonita Jones
File Modified2015-06-15
File Created2015-06-15

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