Schedule of Excess Risks

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0004 can be found here:

Documents and Forms

Document Name Document Type
Form FMS-285-A Schedule of Excess Risks Form and Instruction
FMS-285-A Schedule of Excess Risks Copy of ser-sample-i (1510-0004).xls www.fms.treas.gov/c570/forms/ser-sample-i.xls Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Schedule of Excess Risks	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 223.14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FMS-285-A	Schedule of Excess Risks	Copy of ser-sample-i (1510-0004).xls	http://www.fms.treas.gov/c570/forms/ser-sample-i.xls	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 283	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,132	66	1,066
Annual IC Time Burden (Hours)	5,600	-180	5,780
Annual IC Cost Burden (Dollars)	0	0	0

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.