Information Collection

Small Insurers Insurer Group Affliations

IC 225986 under ICR 201802-1505-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.