Information Collection

Alien Surplus Lines Exposure Bases by Jurisdiction

IC 225987 under ICR 201703-1505-001 · OMB 1505-0257.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0257 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2017 TRIP Data Dictionary Alien Surplus Lines Companies.xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Instruction
TBD Terrorism Risk Insurance Program: Alien Surplus Lines 2017 Data Call Alien Surplus Lines Companies.xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Form

IC Title:

Alien Surplus Lines Exposure Bases by Jurisdiction

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 50.51

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
Instruction			2017 TRIP Data Dictionary Alien Surplus Lines Companies.xlsx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Alien Surplus Lines	2017 Data Call Alien Surplus Lines Companies.xlsx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: Data Collection and Comments in Aid of Analyses of the Terrorism Risk Insurance Program

FR Citation: 81 FR 95310

Number of Respondents: 75

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	6,375	6,375

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.