TRIP Recoupment Reporting and Remittance

Recoupment Provisions of the Terrorism Risk Insurance Act (TRIA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0207 can be found here:

Documents and Forms

Document Name Document Type
Form TRIP 04A TRIP Recoupment Reporting and Remittance Form and Instruction
TRIP 04A TRIP Monthly Calculation of Federal Terrorism Policy Sur Monthly Recoup Form TRIP 4A Draft 9-2008.doc Form and Instruction
TRIP 04B TRIP Year End Calculation of Federal Terrorism Policy Su Recoupment - Surcharge Worksheet 4B -Draft 9-2008.doc Form and Instruction

Information Collection (IC) Details

IC Title:	TRIP Recoupment Reporting and Remittance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 31 CFR Subpart 50 H (to be added) (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TRIP 04A	TRIP Monthly Calculation of Federal Terrorism Policy Surcharge	Monthly Recoup Form TRIP 4A Draft 9-2008.doc		Yes	Yes	Fillable Fileable Signable
Form and Instruction	TRIP 04B	TRIP Year End Calculation of Federal Terrorism Policy Surcharge	Recoupment - Surcharge Worksheet 4B -Draft 9-2008.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	120,000	120,000
Annual IC Cost Burden (Dollars)	8,400,000	8,400,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.