Information Collection

Recoupment and Cap on Annual Liability

IC 227209 under ICR 202311-1505-002 · OMB 1505-0200.

Documents and Forms

Document Name Document Type
TRIP Form 05 Data Call Instructions.doc tripclaims.treas.gov/TRIP/ Instruction
TRIP Form 05 Data Call Instructions.doc tripclaims.treas.gov/TRIP/ Instruction
TRIP 05 Data Call TRIP Form 05 Data Call.xls tripclaims.treas.gov/TRIP/ Form
TRIP 05 Data Call TRIP Form 05 Data Call.xls tripclaims.treas.gov/TRIP/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recoupment and Cap on Annual Liability	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 05 Data Call Instructions.doc	https://tripclaims.treas.gov/TRIP/	Yes	Yes	Fillable Fileable
Form	TRIP 05	Data Call	TRIP Form 05 Data Call.xls	https://tripclaims.treas.gov/TRIP/	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	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.