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TRIP Data Call [Recoupment]
Recoupment Provisions of the Terrorism Risk Insurance Act (TRIA)
OMB: 1505-0207
IC ID: 186493
OMB.report
TREAS/DO
OMB 1505-0207
ICR 201205-1505-005
IC 186493
( )
Documents and Forms
Document Name
Document Type
Form TRIP 04A
TRIP Data Call [Recoupment]
Form
TRIP form 04A monthly calculation instructions 6June2012.doc
Instruction
TRIP Form 04B surcharge instructions 7June2012.doc
Instruction
TRIP 04A STATEMENT OF DIRECT WRITTEN PREMIUM AND MONTHLY SURCHAR
TRIP form 04A monthly calculation instructions 6June2012.doc
Form
TRIP 04B Direct Written Premium and Federal Terrorism Policy Surc
TRIP Form 04B Surcharge 7June2012.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TRIP Data Call [Recoupment]
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
31 CFR 50 Subpart H (to be added)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
TRIP 04A
STATEMENT OF DIRECT WRITTEN PREMIUM AND MONTHLY SURCHARGE
TRIP form 04A monthly calculation instructions 6June2012.doc
Yes
Yes
Fillable Fileable
Instruction
TRIP form 04A monthly calculation instructions 6June2012.doc
Yes
Yes
Fillable Fileable
Form
TRIP 04B
Direct Written Premium and Federal Terrorism Policy Surcharge InstructionsAnnual Report
TRIP Form 04B Surcharge 7June2012.doc
Yes
Yes
Fillable Fileable
Instruction
TRIP Form 04B surcharge instructions 7June2012.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
200
0
0
0
0
200
Annual IC Time Burden (Hours)
1,000
0
0
0
0
1,000
Annual IC Cost Burden (Dollars)
85,000
0
0
0
0
85,000
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.