Information Collection

TRIP Data Call [Cap on Annual Liability]

IC 186550 under ICR 201601-1505-004 · OMB 1505-0208.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TRIP 05 Data Call TRIP Data Call [Cap on Annual Liability]	Form
TRIP form 05 data call instructions 0208 26Jan2016.doc	Instruction
Data Call Screen Shot.docx tripclaims.treas.gov/TRIP	Other-System Screen Shot
TRIP 05 Data Call TRIP 05 Data Call Form 7June2012.xls	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 50 Subpart J

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TRIP 05		No		Printable Only
Instruction			Yes	No	Printable Only
Other-System Screen Shot		https://tripclaims.treas.gov/TRIP	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	85,000	85,000

Documents for IC

table that charts IC Documents
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.

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