Information Collection

Final Netting of Payments to/from Insurers

IC 192275 under ICR 201002-1505-006 · OMB 1505-0258.

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Information Collection (IC) Details

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IC Title:	Final Netting of Payments to/from Insurers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	45,000	45,000

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