Information Collection

U.S. Homeowners Multi-Peril Form

IC 263185 under ICR 202311-1505-001 · OMB 1505-0280.

Documents and Forms

Document Name Document Type
U.S. Homeowners Multi-Peril Form Form
FIO_Revised_Data_Collection_Instructions.pdf Instruction
FIO_Revised_Data_Collection_Instructions.pdf Instruction
U.S. Homeowners Multi-Peril Form FIO_Revised_Data_Collection_Form.xlsx Form
U.S. Homeowners Multi-Peril Form FIO_Revised_Data_Collection_Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	U.S. Homeowners Multi-Peril Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	U.S. Homeowners Multi-Peril Form	FIO_Revised_Data_Collection_Form.xlsx		Yes	Yes	Fillable Fileable
Instruction			FIO_Revised_Data_Collection_Instructions.pdf		Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	48,000	48,000
Annual IC Cost Burden (Dollars)	240,000	240,000

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.