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Federal forms, ICRs, and supporting documents

Information Collection

Recoupment Provisions

IC 227208 under ICR 202311-1505-002 · OMB 1505-0200.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Recoupment Provisions
 
No Modified
 
Required to Obtain or Retain Benefits
 
31 CFR 50

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

Economic Development Business and Industry Development

 

2,250 0
   
Private Sector Businesses or other for-profits
 
   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

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.