Information Collection

Captive Insurers Reinsurance (Nationwide)

IC 225988 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
2017 TRIP Data Dictionary Captive Insurers.xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Instruction
TBD Terrorism Risk Insurance Program: Captive Insurers 2017 Data Call Captive Insurers.xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Captive Insurers Reinsurance (Nationwide)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2017 TRIP Data Dictionary Captive Insurers.xlsx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Captive Insurers	2017 Data Call Captive Insurers.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: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	20,000	20,000
Annual IC Cost Burden (Dollars)	34,000	34,000

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.