Information Collection

U.S. Homeowners Multi-Peril Form

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.