Recoupment and Cap on Annual Liability

Terrorism Risk Insurance Program (TRIP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0200 can be found here:

Documents and Forms

Document Name Document Type
TRIP Form 05 Data Call Instructions.doc tripclaims.treas.gov/TRIP/ Instruction
TRIP 05 Data Call TRIP Form 05 Data Call.xls tripclaims.treas.gov/TRIP/ Form

Information Collection (IC) Details

IC Title:	Recoupment and Cap on Annual Liability	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 50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			TRIP Form 05 Data Call Instructions.doc	https://tripclaims.treas.gov/TRIP/	Yes	Yes	Fillable Fileable
Form	TRIP 05	Data Call	TRIP Form 05 Data Call.xls	https://tripclaims.treas.gov/TRIP/	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	400	0	400
Annual IC Time Burden (Hours)	2,000	0	2,000
Annual IC Cost Burden (Dollars)	0	-170,000	170,000

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.