Information Collection

Recoupment and Cap on Annual Liability

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.