Information Collection

Life Insurance Company Survey

IC 124554 under ICR 198704-1505-001 · OMB 1505-0101.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

LIFE INSURANCE COMPANY SURVEY

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	TDF 68-70.1	No	No
Form	TDF 68-70.1A	No	No
Form	TDF 68-70.2	No	No
Form	TDF 68-70.2A	No	No
Form	TDF 68-70.2B	No	No
Form	TDF 68-70.2C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 326

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	326	326
Annual IC Time Burden (Hours)	5,480	5,480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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