Information Collection

Collection of Data from Property and Casualty Insurers for a Report on the Effectiveness of the Terrorism Risk Insurance Program - Small Insurers

IC 219917 under ICR 201601-1505-005 · OMB 1505-0253.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Collection of Data from Property and Casualty Insurers for a Report on the Effectiveness of the Terrorism Risk Insurance Program - Small Insurers	Form
2016 TRIP Data Dictionary.xlsx	Instruction
1 2016 TRIP Data Collection Form 2016 Data Call Template Revised.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 50 (Subpart to be added)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	2016 TRIP Data Collection Form	2016 Data Call Template Revised.xlsx		Yes	Yes	Fillable Fileable Signable
Instruction			2016 TRIP Data Dictionary.xlsx		Yes	No	Printable Only

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: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

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.