TRIP Recoupment Reporting and Remittance

Recoupment Provisions of the Terrorism Risk Insurance Act (TRIA)

OMB: 1505-0207

IC ID: 186494

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

TRIP Recoupment Reporting and Remittance
 
No Modified
 
Mandatory
 
31 CFR Subpart 50 H (to be added)  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form TRIP 04A DIRECT WRITTEN PREMIUM AND MONTHLY SURCHARGE CALCULATION TRIP form 04A monthly calculation 6June2012.doc Yes Yes Fillable Fileable Signable
Instruction TRIP form 04A monthly calculation instructions 6June2012.doc Yes Yes Fillable Fileable Signable
Form TRIP 04B “DIRECT WRITTEN PREMIUM AND END OF YEAR CALCULATION TRIP Form 04B Surcharge 7June2012.doc Yes Yes Fillable Fileable Signable
Instruction TRIP Form 04B surcharge instructions 7June2012.doc Yes Yes Fillable Fileable Signable

Economic Development Industry Sector Income Stabilization

 

2,000 0
   
Private Sector Businesses or other for-profits
 
   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 24,000 0 0 0 0 24,000
Annual IC Time Burden (Hours) 120,000 0 0 0 0 120,000
Annual IC Cost Burden (Dollars) 8,400,000 0 0 0 0 8,400,000

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