List of Data (A) and List of Data (B)

Checklists of Filings for Certified Surety and/or Certified Reinsuring Companies and for Admitted Reinsurer Companies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0061 can be found here:

Documents and Forms

Document Name Document Type
Form Not Assigned List of Data (A) and List of Data (B) Form
Not Assigned Annual Checklist for Admitted Reinsurers ChecklistAnnualAR2015 Fillable.pdf www.fiscal.treasury.gov/fsreports/ref/suretyBnd/AnnualChecklistofFilingsforAdmittedReinsurerCompanies.pdf Form
Not Assigned Annual Checklist for Certified Companies ChecklistAnnualCA2015 fillable.pdf www.fiscal.treasury.gov/fsreports/ref/suretyBnd/AnnualChecklistofFilingsforCertifiedSuretyandorCertifiedReinsuringCompan Form

Information Collection (IC) Details

IC Title:	List of Data (A) and List of Data (B)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 223

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Not Assigned	Annual Checklist for Admitted Reinsurers	ChecklistAnnualAR2015 Fillable.pdf	https://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/AnnualChecklistofFilingsforAdmittedReinsurerCompanies.pdf	Yes	Yes	Fillable Fileable
Form	Not Assigned	Annual Checklist for Certified Companies	ChecklistAnnualCA2015 fillable.pdf	https://www.fiscal.treasury.gov/fsreports/ref/suretyBnd/AnnualChecklistofFilingsforCertifiedSuretyandorCertifiedReinsuringCompanies.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	150	-390	540
Annual IC Cost Burden (Dollars)	0	0	0

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.