# Agency Information Collection Activities: Comment Request
**AGENCY:**
Export-Import Bank of the U.S.
**ACTION:**
Submission for OMB Review and Comments Request.
*Form Title:* Broker Registration Form, EIB 92-79.
**SUMMARY:**
The Export-Import Bank of the United States (Ex-Im Bank), as a part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal Agencies to comment on the proposed information collection, as required by the Paperwork Reduction Act of 1995. Our customers will be able to submit this form on paper or electronically.
This application is used by insurance brokers to register with Export Import Bank. The application 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.
We have revised the following question: “Indicate (Not Required) if owned by a woman or an ethnic minority, describe”
To this question:
“Is the majority ownership of your business represented by: women or minority?”
This form can be reviewed at *http://www.exim.gov/pub/pending/EIB 92_79 Broker Registration Form.*
**DATES:**
Comments should be received on or before May 10, 2011 to be assured of consideration.
**ADDRESSES:**
Comments maybe submitted through *http://www.Regulations.Gov* or mailed to Judith Rivera, Export Import Bank of the United States, 811 Vermont Ave., NW. Washington, DC 20571
**SUPPLEMENTARY INFORMATION:**
*Titles and Form Number:* EIB 92-79 Broker Registration Form.
*OMB Number:* 3048-0024.
*Type of Review:* Regular.
*Need and Use:* This application is used by insurance brokers to register with Export Import Bank. The application 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.
*Affected Public:* This form affects entities involved in the export of U.S. goods and services.
*Annual Number of Respondents:* 50.
*Estimated Time per Respondent:* 100 hours.
*Government Annual Burden Hours:* 200 hours.
*Frequency of Reporting or Use:* Once.
Sharon A. Whitt,
Agency Clearance Officer.