Small Insurers Insurer Group Affliations

Terrorism Risk Insurance Program

⚠️ Notice: This information collection may be referencing outdated material.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
2018 TRIP Data Call Instructions Small Insurers.docx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Instruction
TBD Terrorism Risk Insurance Program: Small Insurers 2018 TRIP Data Call Small Insurers.xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Form

Information Collection (IC) Details

IC Title:	Small Insurers Insurer Group Affliations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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			2018 TRIP Data Call Instructions Small Insurers.docx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Small Insurers	2018 TRIP Data Call Small 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: 300	Number of Respondents for Small Entity: 300

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	7,500	7,500
Annual IC Cost Burden (Dollars)	25,500	25,500

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.