Information Collection Request

Standard Reinsurance Agreement Plan of Operations

ICR 201105-0563-003 · OMB 0563-0069 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Estimated Premium Template Form Unchanged Available
Agent Comp Template Form Unchanged Available
Loss Adjustment Expense Template Form Unchanged Available
Total Expense Form Unchanged Available
Escrow Agreement with Reinsured Company Form Unchanged Available
Escrow Agreement with Bank Form Unchanged Available
Commercial Fund Template Form Unchanged Available
Business Pandemic Influenza Checklist Form Unchanged Available
SRA18questions_as of 4-21-11.doc Supporting Statement A Uploaded 2011-05-25 Available
SRA.pdf Supplementary Document Uploaded 2010-12-06 Available
SRA Burden Grid as of 9-29-10.doc Supplementary Document Uploaded 2010-12-06 Available
Appendix III PASS.pdf Supplementary Document Uploaded 2010-11-23 Available
Authority for 2010 SRA.docx Supplementary Document Uploaded 2010-10-04 Available
QualityAssuranceandProgramIntegrity.pdf Supplementary Document Uploaded 2010-10-04 Available
Appendix2guide.pdf Supplementary Document Uploaded 2010-10-04 Available
Appendix2 POO.pdf Supplementary Document Uploaded 2010-10-04 Available
Appendix1.pdf Supplementary Document Uploaded 2010-10-04 Available
Federal Crop Insurance & Noninsured Crop Assistance.pdf Supplementary Document Uploaded 2007-05-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1632 Standard Reinsurance Agreement Form UnchangedEstimated Premium Template
1632 Standard Reinsurance Agreement Form UnchangedAgent Comp Template
1632 Standard Reinsurance Agreement Form UnchangedLoss Adjustment Expense Template
1632 Standard Reinsurance Agreement Form UnchangedTotal Expense
1632 Standard Reinsurance Agreement Form UnchangedEscrow Agreement with Reinsured Company
1632 Standard Reinsurance Agreement Form UnchangedEscrow Agreement with Bank
1632 Standard Reinsurance Agreement Form UnchangedCommercial Fund Template
1632 Standard Reinsurance Agreement Form UnchangedBusiness Pandemic Influenza Checklist

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2014 36 Months From Approved 09/30/2011
70,252 0 40,276
175,684 0 144,264
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Standard Reinsurance Agreement N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  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 70,252 40,276 15,016 14,960 0 0
Annual Time Burden (Hours) 175,684 144,264 15,384 16,036 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No