LIST OF EXCESS RISKS IN FORCE ON APPLICATION DATE

ICR 198409-1510-002

OMB: 1510-0009

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
169271 Migrated
ICR Details
1510-0009 198409-1510-002
Historical Active 198406-1510-002
TREAS/FMS
LIST OF EXCESS RISKS IN FORCE ON APPLICATION DATE
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/06/1984
Approved with change 09/06/1984
Retrieve Notice of Action (NOA) 09/06/1984
  Inventory as of this Action Requested Previously Approved
07/31/1987 07/31/1987 07/31/1987
20 0 20
12 0 15
0 0 0

THIS LIST IS USED AND SUBMITTED BY INSURANCE COMPANIES TO SHOW HOW RISKS (WRITTEN IN EXCESS OF 10 PERCENT OF THE COMPANIES POLICYHOLDERS' SURPLUS) ARE PROTECTED AT TIME OF APPLICATION TO BECOME AN ACCEPTABLE SURETY.

None
None


No

1
IC Title Form No. Form Name
LIST OF EXCESS RISKS IN FORCE ON APPLICATION DATE TFS 285A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 20 20 0 0 0 0
Annual Time Burden (Hours) 12 15 0 0 -3 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/06/1984


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