Small Insurers Insurer Group Affliations

Collection of Data from Property and Casualty Insurers for Reports Concerning the Terrorism Risk Insurance Program

OMB: 1505-0257

IC ID: 225986

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0257 can be found here:

2023-03-03 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
2022 Data Call Instructions Small Insurers (Proposed Revisions).docx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Instruction
2022 Data Call Instructions Small Insurers (Proposed Revisions).docx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Instruction
1505-0257 Instructions for Places of Worship Template 2020-03-02.docx home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/ter Instruction
1505-0257 Instructions for Places of Worship Template 2020-03-02.docx home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/ter Instruction
TBD Terrorism Risk Insurance Program: Small Insurers 2022 Data Call Small Insurers (Proposed Revisions).xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Form
TBD Terrorism Risk Insurance Program: Small Insurers 2022 Data Call Small Insurers (Proposed Revisions).xlsx www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx Form
TBD Terrorism Risk Insurance Program: Places of Worship 1505-0257 2020 Data Call (Places of Worship Template) (Draft).xlsx home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/ter Form
TBD Terrorism Risk Insurance Program: Places of Worship 1505-0257 2020 Data Call (Places of Worship Template) (Draft).xlsx home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/ter Form

Information Collection (IC) Details

View Information Collection (IC)

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			2022 Data Call Instructions Small Insurers (Proposed Revisions).docx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Small Insurers	2022 Data Call Small Insurers (Proposed Revisions).xlsx	https://www.treasury.gov/resource-center/fin-mkts/Pages/program.aspx	Yes	Yes	Fillable Fileable
Form	TBD	Terrorism Risk Insurance Program: Places of Worship	1505-0257 2020 Data Call (Places of Worship Template) (Draft).xlsx	https://home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/terrorism-risk-insurance-program/annual-data-collection	Yes	Yes	Fillable Fileable
Instruction			1505-0257 Instructions for Places of Worship Template 2020-03-02.docx	https://home.treasury.gov/policy-issues/financial-markets-financial-institutions-and-fiscal-service/federal-insurance-office/terrorism-risk-insurance-program/annual-data-collection	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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: 225	Number of Respondents for Small Entity: 200

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	225	25	200
Annual IC Time Burden (Hours)	7,200	1,600	5,600
Annual IC Cost Burden (Dollars)	0	0	0

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.