Information Collection

Schedule of Excess Risks

IC 15363 under ICR 201407-1510-001 · OMB 1510-0004.

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 Excess Risks_DRAFT.pdf 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	Excess Risks_DRAFT.pdf		Yes	No	Fillable Printable

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	Previously Approved
Annual Number of Responses for this IC	1,132	1,132
Annual IC Time Burden (Hours)	5,600	5,600
Annual IC Cost Burden (Dollars)	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.