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

ICR 202109-3048-003

OMB: 3048-0024

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3048-0024 202109-3048-003
Received in OIRA 202010-3048-001
EXIMBANK EIB 92-79
Export-Import Bank of the United States (Ex-Im Bank) Broker Registration Form
Revision of a currently approved collection   No
Regular 09/20/2021
  Requested Previously Approved
36 Months From Approved 11/30/2021
17 17
4 4
0 0

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.

US Code: 12 USC 635, et seq. Name of Law: Export-Import Bank Act of 1945
  
None

Not associated with rulemaking

  86 FR 3614 07/08/2021
86 FR 50884 09/13/2021
No

1
IC Title Form No. Form Name
Export-Import Bank of the United States Commissioned Broker Application Form EIB 92-79 Broker Registration Form

  Total Request 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 17 0 0 0 0
Annual Time Burden (Hours) 4 4 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,734
No
    No
    No
No
No
No
No
Bassam Doughman 202 565-3168 bassam.doughman@exim.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/20/2021


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