Export-Import Bank Report of Premiums Payable for Exporters Only

Forms and Documents

Document Name	Status
Form EIB 92-29 Export-Import Bank Report of Premiums Payable for Exporters Only Form and Instruction	Modified
Supporting Statement EIB 92-29 2017-01-11.doc Supporting Statement A	2017-01-11
Changes to 3048-0017 Feb. 22, 2007.doc Justification for No Material/Nonsubstantive Change	2007-02-22

IC Document Collections

IC ID	Document Title	Status
29414	Export-Import Bank Report of Premiums Payable for Exporters Only Form and Instruction	Modified

ICR Details

OMB Control No: 3048-0017	ICR Reference No: 201701-3048-002
Status: Historical Active	Previous ICR Reference No: 201311-3048-002
Agency/Subagency: EXIMBANK	Agency Tracking No: EIB 92-29
Title: Export-Import Bank Report of Premiums Payable for Exporters Only
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: 03/24/2017
	Date Received in OIRA: 01/11/2017
Terms of Clearance: Prior to renewal of this Information Collection, EXIM Bank will provide to OMB information related to its privacy policies including: 1) is the information collected maintained as part of a system of records; 2) does EXIM Bank have a Privacy Impact Assessment or System of Records Notice that is applicable to the information collected; 3) whether the form contained in this information collection request has been reviewed by EXIM Bank’s privacy office or staff.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved	03/31/2017
Responses	26,400	0	31,200
Time Burden (Hours)	6,600	0	7,800
Cost Burden (Dollars)	0	0	0

---

Abstract: The “Report of Premiums Payable for Exporters Only” form is used by exporters to report and pay premiums on insured shipments to various foreign buyers under the terms of the policy and to certify that premiums have been correctly computed and remitted. The “Report of Premiums Payable for Exporters Only” is used by EXIM to determine the eligibility of the shipment(s) and to calculate the premium due to EXIM Bank for its support of the shipment(s) under its insurance program.

---

Authorizing Statute(s): US Code: 12 USC 635 Name of Law: Export Import Bank Act of 1945
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 74429	10/26/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 2977	01/10/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Export-Import Bank Report of Premiums Payable for Exporters Only	EIB 92-29	Report of Premiums Payable for Exporters Only

---

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	26,400	31,200	0	-4,800	0	0
Annual Time Burden (Hours)	6,600	7,800	0	-1,200	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: The expected number of respondents has been updated.

---

Annual Cost to Federal Government: $336,600

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

---

Common Form ICR:  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:

(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: 01/11/2017

---