INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. (D), (F), (H), (I), and (K) should be entered in items 17 & 18 of SF-83. For cols. (E), (G), and (J), the averages of the totals shall be computed, as follows, and then entered on the SF-83. (F) Total = (E) Average (H) Total = (G) Average (K) Total = (J) Average (D) Total (F) Total (I) Total |
TITLE OF INFORMATION COLLECTION DOCUMENT Standard Reinsurance Agreement | OMB NO. 0563-0069 | PAGE 1 of 2 | |||||||
DATE PREPARED: 02/07/24 | ||||||||||
IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT | FORM NO(S) (If "none", so state) | ANNUAL BURDEN | ||||||||
SECTION OF REGS | DESCRIPTION | REPORTS | RECORDS | |||||||
NO. OF RESPONDENTS | NO. OF RESPONSES PER RESPONDENT | TOTAL ANNUAL RESPONSES (Col. D x E) | HOURS PER RESPONSE | TOTAL HOURS (Col. F x G) | NO. OF RECORDKEEPERS | ANNUAL HOURS OF RECORDKEEPING | TOTAL RECORDKEEPING HOURS (Col.I x J) | |||
(A) | (B) | (C) | (D) | (E ) | (F) | (G) | (H) | (I) | (j) | (K) |
7 CFR Ch. IV - | APPENDIX I | |||||||||
Subpart L | Conflict of Interest Disclosure | |||||||||
Section VI(e) - Agents, Adjusters, and Employees | 22000 | 1 | 22000 | 1 | 22000 | |||||
Section VI(e) - AIPs | 13 | 1 | 13 | 32 | 416 | |||||
Controlled Business Certification | ||||||||||
Section VII(b) - Agents | 14000 | 1 | 14000 | 1 | 14000 | |||||
Section VII(b) - AIP Reporting | 13 | 1 | 13 | 32 | 416 | |||||
APPENDIX II | ||||||||||
Section I(a) | 13 | 1 | 13 | 1 | 13 | |||||
Section I(b) | 13 | 1 | 13 | 1 | 13 | |||||
Section I(c) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(a) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(b) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(c) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(d) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(e) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(f) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(g) | 13 | 1 | 13 | 1 | 13 | |||||
Section II(h) | 13 | 1 | 13 | 1 | 13 | |||||
Section III(b) | 13 | 1 | 13 | 2 | 26 | |||||
Section III(c) | 13 | 1 | 13 | 2 | 26 | |||||
Section III(d) | 13 | 1 | 13 | 8 | 104 | |||||
Section III(e) | 13 | 1 | 13 | 1 | 13 | |||||
Section III(f) | 13 | 1 | 13 | 16 | 208 | |||||
Section III(g) | 13 | 1 | 13 | 16 | 208 | |||||
Section III(h) | 13 | 1 | 13 | 8 | 104 | |||||
Section III(i) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(a) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(b) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(c) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(d) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(e) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(f) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(g) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(h) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(i) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(j) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(k) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(l) | 13 | 1 | 13 | 1 | 13 | |||||
Section IV(m) | 13 | 1 | 13 | 4 | 52 | |||||
Section IV(n) | 13 | 1 | 13 | 4 | 52 | |||||
Section V(a) | 13 | 1 | 13 | 1 | 13 | |||||
Section V(b) | 13 | 1 | 13 | 8 | 104 | |||||
Section V(c ) | 13 | 1 | 13 | 1 | 13 | |||||
Section V(d) | 13 | 1 | 13 | 1 | 13 | |||||
Section VI(a) | 13 | 1 | 13 | 8 | 104 | |||||
Section VI(b) | 13 | 1 | 13 | 12 | 156 | |||||
Section VI(c) | 13 | 1 | 13 | 8 | 104 | |||||
Section VI(d) | 13 | 1 | 13 | 4 | 52 | |||||
AIP App. II Total | 128 | 1664 | ||||||||
APPENDIX IV | ||||||||||
Section I(a) - QC Plan, App II section VI(j) | 13 | 1 | 13 | 20 | 260 | |||||
Section II(a) - TPEP/TEPR, App II section VI(i) | 13 | 1 | 13 | 30 | 390 | |||||
Section III(a) - QC report | 13 | 1 | 13 | 24 | 312 | |||||
AIP App. IV Total | 74 | 962 | ||||||||
Section II(d)(1) - Agent training hours | 14000 | 1 | 14000 | 4 | 56000 | |||||
Section II(d)(2) - Loss Adjuster training hours | 6000 | 1 | 6000 | 17 | 102000 | |||||
Totals | 56598 | 197458 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |