Information Collection Request

Terrorism Risk Insurance Program (TRIP)

ICR 202009-1505-001 · OMB 1505-0200 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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 Unchanged Available
Form TRIP 06 Certification Data Call Form Modified Repair queued
Form TRIP 05 Data Call Form Modified Available
Form TRIP 04B Direct Written Premium and End of Year Calcuation Form Modified Available
Form TRIP 04A Direct Written Premium and Monthly Surcharge Calculation Form Modified Available
Form TRIP 03 Notice of Proposed Settlement of 3rd Party Claim Request for Approval Form and Instruction Unchanged Available
1505-0200_Consolidated Supporting Statement for Program Forms_Final.docx Supporting Statement A Uploaded 2020-09-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Form ModifiedSchedule C Bordereau
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Form and Instruction ModifiedSchedule B
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Form ModifiedSchedule A
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Form and Instruction ModifiedCertification of Loss
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Form and Instruction ModifiedNotice of Deductible Erosion
39047 Commercial Property and Casualty Insurers Submission for Federal Share of Compensation Instruction Modified
243561 Rebuttal of Controlling Influence Submissions New
227215 Surcharge Records Maintenance Modified
227214 Systems Changes to Collect Policyholder Surcharges (First Year Only) Modified
227213 Recordkeeping Requirements for Insurers Compensated under Terrorism Risk Insurance Program Unchanged
227212 Commutations Under Final Netting Rule Unchanged
227211 Monthly Claims Report Form UnchangedMonthly Claims Report
227211 Monthly Claims Report Instruction Unchanged
227210 Certification Data Call Form ModifiedCertification Data Call
227210 Certification Data Call Instruction Modified
227209 Recoupment and Cap on Annual Liability Form ModifiedData Call
227209 Recoupment and Cap on Annual Liability Instruction Modified
227208 Recoupment Provisions Form ModifiedDirect Written Premium and End of Year Calcuation
227208 Recoupment Provisions Form ModifiedDirect Written Premium and Monthly Surcharge Calculation
227208 Recoupment Provisions Instruction Modified
227207 Litigation Management - Information Collection Regarding Proposed Settlements Form and Instruction UnchangedNotice of Proposed Settlement of 3rd Party Claim Request for Approval

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 11/30/2020
42,931 0 42,921
223,877 0 223,577
1,000,000 0 17,310,000





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11
table that charts list of burden
IC Title Form No. Form Name
Certification Data Call TRIP 06
Commercial Property and Casualty Insurers Submission for Federal Share of Compensation TRIP 02, TRIP 01, TRIP 02A, TRIP 02B, TRIP 02C ,   ,   ,   ,  
Commutations Under Final Netting Rule
Litigation Management - Information Collection Regarding Proposed Settlements TRIP 03
Monthly Claims Report TRIP 07
Rebuttal of Controlling Influence Submissions
Recordkeeping Requirements for Insurers Compensated under Terrorism Risk Insurance Program
Recoupment Provisions TRIP 04A, TRIP 04B ,  
Recoupment and Cap on Annual Liability TRIP 05
Surcharge Records Maintenance
Systems Changes to Collect Policyholder Surcharges (First Year Only)

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 42,931 42,921 0 10 0 0
Annual Time Burden (Hours) 223,877 223,577 0 400 -100 0
Annual Cost Burden (Dollars) 1,000,000 17,310,000 0 0 -16,310,000 0


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