Efrain is a distinctive boys' name in United States, ranking #586 in 2004 with 380 recorded births. This places Efrain in the top 4% of ranked US boys' names for the year. Its actual usage is classified as Uncommon. The name reached its all-time peak in 1999 with 392 births ranking #529. In 2004, approximately 1 in every 5,223 boys born was named Efrain. FALLING Recent data shows the name is currently falling.