Terrorism Risk Insurance Program (TRIP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TRIP 02C Schedule C Bordereau	Form	Modified	Available
Form TRIP 02B Schedule B	Form and Instruction	Modified	Available
Form TRIP 02A Schedule A	Form	Modified	Available
Form TRIP 02 Certification of Loss	Form and Instruction	Modified	Available
Form TRIP 01 Notice of Deductible Erosion	Form and Instruction	Modified	Available
Form TRIP 07 Monthly Claims Report	Form	New	Available
Form TRIP 06 Certification Data Call	Form	New	Repair queued
Form TRIP 05 Data Call	Form	New	Available
Form TRIP 04B Direct Written Premium and End of Year Calcuation	Form	New	Available
Form TRIP 04A Direct Written Premium and Monthly Surcharge Calculation	Form	New	Repair queued
Form TRIP 03 Notice of Proposed Settlement of 3rd Party Claim Request for Approval	Form and Instruction	New	Available
Consolidated Supporting Statement for Program Forms.docx	Supporting Statement A	Uploaded 2017-06-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Form	Modified	Schedule C Bordereau
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Form and Instruction	Modified	Schedule B
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Form	Modified	Schedule A
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Form and Instruction	Modified	Certification of Loss
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Form and Instruction	Modified	Notice of Deductible Erosion
39047	Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	Instruction	Modified
227215	Surcharge Records Maintenance		New
227214	Systems Changes to Collect Policyholder Surcharges (First Year Only)		New
227213	Recordkeeping Requirements for Insurers Compensated under Terrorism Risk Insurance Program		New
227212	Commutations Under Final Netting Rule		New
227211	Monthly Claims Report	Form	New	Monthly Claims Report
227211	Monthly Claims Report	Instruction	New
227210	Certification Data Call	Form	New	Certification Data Call
227210	Certification Data Call	Instruction	New
227209	Recoupment and Cap on Annual Liability	Form	New	Data Call
227209	Recoupment and Cap on Annual Liability	Instruction	New
227208	Recoupment Provisions	Form	New	Direct Written Premium and End of Year Calcuation
227208	Recoupment Provisions	Form	New	Direct Written Premium and Monthly Surcharge Calculation
227208	Recoupment Provisions	Instruction	New
227207	Litigation Management - Information Collection Regarding Proposed Settlements	Form and Instruction	New	Notice of Proposed Settlement of 3rd Party Claim Request for Approval

ICR Details

OMB Control No: 1505-0200	ICR Reference No: 201706-1505-001
Status: Historical Active	Previous ICR Reference No: 201309-1505-001
Agency/Subagency: TREAS/DO	Agency Tracking No:
Title: Terrorism Risk Insurance Program (TRIP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/12/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/17/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	09/30/2017
Responses	42,921	0	2,000
Time Burden (Hours)	223,577	0	4,200
Cost Burden (Dollars)	17,310,000	0	1,100,000

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Abstract: This information collection is made necessary by the provisions of the Terrorism Risk Insurance Act of 2002 (the Act), the Terrorism Risk Insurance Extension Act of 2005 (the Extension Act), the Terrorism Risk Insurance Program Reauthorization Act of 2007 (the 2007 Reauthorization Act), the Terrorism Risk Insurance Program Reauthorization Act of 2015 (the 2015 Reauthorization Act), and the Department of Treasury regulations (31 CFR Part 50) (the Program Rules) for their implementation. On November 26, 2002, the President signed into law the Terrorism Risk Insurance Act of 2002 (Pub. L. 107-297, 116 Stat. 2322) (TRIA or the Act). The Act’s purposes are to address market disruptions, ensure the continued widespread availability and affordability of commercial property and casualty insurance for terrorism risk, and allow for a transition period for the private markets to stabilize and build capacity while preserving state insurance regulation and consumer protections. TRIA has been reauthorized three times, most recently with the Terrorism Risk Insurance Program Reauthorization Act of 2015 (Pub. L. 114-1, 129 Stat. 3) (2015 Reauthorization Act), which extended the Program through December 31, 2020. Title I of the Act establishes a temporary federal program of shared public and private compensation for insured commercial property and casualty losses resulting from an act of terrorism. Section 103 of the Act authorizes the Secretary of the Treasury to administer and implement the Program, including the issuance of regulations and procedures. Pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act, the Federal Insurance Office assists the Secretary in administering the Program.

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Authorizing Statute(s): PL: Pub.L. 109 - 144 103 Name of Law: Terrorism Risk Insurance Extension Act of 2005
   PL: Pub.L. 110 - 160 103 Name of Law: Terrorism Risk Insurance Program Reauthorization Act of 2007
   PL: Pub.L. 107 - 297 103 Name of Law: Terrorism Risk Insurance Act of 2002
   PL: Pub.L. 114 - 1 1 Name of Law: Terrorism Risk Insurance Program Reauthorization Act of 2015
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13543	03/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 31806	07/10/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Certification Data Call	TRIP 06	Certification Data Call
Commercial Property and Casualty Insurers Submission for Federal Share of Compensation	TRIP 02, TRIP 01, TRIP 02A, TRIP 02B, TRIP 02C	Notice of Deductible Erosion ,   Certification of Loss ,   Schedule A ,   Schedule B ,   Schedule C Bordereau
Commutations Under Final Netting Rule
Litigation Management - Information Collection Regarding Proposed Settlements	TRIP 03	Notice of Proposed Settlement of 3rd Party Claim Request for Approval
Monthly Claims Report	TRIP 07	Monthly Claims Report
Recordkeeping Requirements for Insurers Compensated under Terrorism Risk Insurance Program
Recoupment Provisions	TRIP 04A, TRIP 04B	Direct Written Premium and Monthly Surcharge Calculation ,   Direct Written Premium and End of Year Calcuation
Recoupment and Cap on Annual Liability	TRIP 05	Data Call
Surcharge Records Maintenance
Systems Changes to Collect Policyholder Surcharges (First Year Only)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	42,921	2,000	0	40,921	0	0
Annual Time Burden (Hours)	223,577	4,200	0	219,377	0	0
Annual Cost Burden (Dollars)	17,310,000	1,100,000	0	16,210,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The operation of the Program depends upon a number of information collections which may need to be made to determine the right to and amount of Federal payments to which participating insurers would be entitled. Now that Program Rules have been adopted to conform the Program with the reforms enacted in the 2015 Reauthorization Act (see 81 FR 93756 (Dec. 21, 2016)), Treasury seeks to modify existing collections and add new components in a fashion consistent with existing law. Treasury also seeks to increase administrative efficiency by consolidating these information collections under existing information collection OMB 1505-0200. These information collections include the following: • Commercial Property and Casualty Insurers Submission for Federal Share of Compensation (Existing OMB No. 1505-0200) • Litigation Management – Information Collection Regarding Proposed Settlements (Formerly OMB No. 1505-0196) • Recoupment Provisions of the Terrorism Risk Insurance Act (Formerly OMB No. 1505-0207) • Cap on Annual Liability (Formerly OMB No. 1505-0208) • Certification Data Call (New) • Monthly Claims Report (New) • Commutations Under Final Netting Rule (New) • Recordkeeping Requirements for Insurers Compensated under Terrorism Risk Insurance Program (OMB No. 1505-0197)

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/17/2017

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