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

OMB 3048-0024

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.

The latest form for Export-Import Bank of the United States (Ex-Im Bank) Broker Registration Form expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form EIB 92-79 Export-Import Bank of the United States Commissioned Broker Application Form Form and Instruction
EXIM EIB 92-79 Broker Registration Form NON-SUBSTANTIVE CHANGE 2022_12.docx Justification for No Material/Nonsubstantive Change
EIB 92-79 Broker Registration Non Substantive Changes Oct 2020.docx Justification for No Material/Nonsubstantive Change
EIB 92-79 Commissioned Broker Application Form SUPPORTING STATEMENT 2024_6.docx Supporting Statement A
Export-Import Bank of the United States Commissioned Broker Application Form Form and Instruction

All Historical Document Collections

202412-3048-006	Revision of a currently approved collection	2024-12-17
202212-3048-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-12-09
202109-3048-003 Approved without change	Revision of a currently approved collection	2021-09-20
202010-3048-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-10-02
201802-3048-001 Approved with change	Revision of a currently approved collection	2018-02-14
201406-3048-009 Approved without change	Revision of a currently approved collection	2014-06-11
201103-3048-001 Approved without change	Revision of a currently approved collection	2011-06-07
201102-3048-001 Approved without change	Extension without change of a currently approved collection	2011-02-15
201008-3048-003 Disapproved and continue	Revision of a currently approved collection	2010-12-08
200709-3048-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-02-04
200704-3048-002 Approved without change	New collection (Request for a new OMB Control Number)	2007-04-11