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Recoupment Provisions
Terrorism Risk Insurance Program (TRIP)
OMB: 1505-0200
IC ID: 227208
OMB.report
TREAS/DO
OMB 1505-0200
ICR 202311-1505-002
IC 227208
( )
Documents and Forms
Document Name
Document Type
TRIP Form 04A Monthly Recoupment Calculation Instructions.doc
tripclaims.treas.gov/TRIP/
Instruction
TRIP Form 04A Monthly Recoupment Calculation Instructions.doc
tripclaims.treas.gov/TRIP/
Instruction
TRIP Form 04B End of Year Recoupment Calculation Instructions.doc
Direct Written Premium and Monthly Surcharge Calcu
Instruction
TRIP Form 04B End of Year Recoupment Calculation Instructions.doc
Direct Written Premium and Monthly Surcharge Calcu
Instruction
TRIP 04A Direct Written Premium and Monthly Surcharge Calculation
TRIP Form 04A Monthly Recoupment Calculation.doc
tripclaims.treas.gov/TRIP/
Form
TRIP 04A Direct Written Premium and Monthly Surcharge Calculation
TRIP Form 04A Monthly Recoupment Calculation.doc
tripclaims.treas.gov/TRIP/
Form
TRIP 04B Direct Written Premium and End of Year Calcuation
TRIP Form 04B End of Year Recoupment Calculation.doc
tripclaims.treas.gov/TRIP/
Form
TRIP 04B Direct Written Premium and End of Year Calcuation
TRIP Form 04B End of Year Recoupment Calculation.doc
tripclaims.treas.gov/TRIP/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Recoupment Provisions
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 04A Monthly Recoupment Calculation Instructions.doc
https://tripclaims.treas.gov/TRIP/
Yes
Yes
Fillable Fileable
Form
TRIP 04A
Direct Written Premium and Monthly Surcharge Calculation
TRIP Form 04A Monthly Recoupment Calculation.doc
https://tripclaims.treas.gov/TRIP/
Yes
Yes
Fillable Fileable
Instruction
TRIP Form 04B End of Year Recoupment Calculation Instructions.doc
Direct Written Premium and Monthly Surcharge Calcu
Yes
Yes
Fillable Fileable
Form
TRIP 04B
Direct Written Premium and End of Year Calcuation
TRIP Form 04B End of Year Recoupment Calculation.doc
https://tripclaims.treas.gov/TRIP/
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,250
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
27,000
0
0
3,000
0
24,000
Annual IC Time Burden (Hours)
135,000
0
0
15,000
0
120,000
Annual IC Cost Burden (Dollars)
0
0
0
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.