Information Collection

Alien Surplus Lines Exposure Bases by Jurisdiction

IC 225987 under ICR 201902-1505-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
2019 Data Call Instructions Alien Surplus Lines Companies (to OMB).docx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Instruction
TBD Terrorism Risk Insurance Program: Alien Surplus Lines 2019 Data Call Alien Surplus Lines Companies (to OMB).xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Alien Surplus Lines Exposure Bases by Jurisdiction	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			2019 Data Call Instructions Alien Surplus Lines Companies (to OMB).docx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Alien Surplus Lines	2019 Data Call Alien Surplus Lines Companies (to OMB).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: 25	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	-50	75
Annual IC Time Burden (Hours)	1,250	-2,500	3,750
Annual IC Cost Burden (Dollars)	0	-6,375	6,375

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.