Information Collection

Monthly Claims Report

IC 227211 under ICR 202311-1505-002 · OMB 1505-0200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TRIP Form 07 Monthly Claims Report Instructions.doc tripclaims.treas.gov/TRIP/	Instruction
TRIP Form 07 Monthly Claims Report Instructions.doc tripclaims.treas.gov/TRIP/	Instruction
TRIP 07 Monthly Claims Report TRIP Form 07 Monthly Claims Report.xls tripclaims.treas.gov/TRIP/	Form
TRIP 07 Monthly Claims Report TRIP Form 07 Monthly Claims Report.xls tripclaims.treas.gov/TRIP/	Form

IC Title:

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:

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 07 Monthly Claims Report Instructions.doc	https://tripclaims.treas.gov/TRIP/	Yes	Yes	Fillable Fileable
Form	TRIP 07	Monthly Claims Report	TRIP Form 07 Monthly Claims Report.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: 100

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	1,200	1,200
Annual IC Time Burden (Hours)	2,400	2,400
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.