Information Collection Request

Notice of Claim and Proof of Loss Medium-Term Insurance

ICR 202409-3048-004 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form EIB 24-06 NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE Form and Instruction New Repair queued
EIB 24-06 Notice of Claim Proof of Loss MTI SUPPORTING STATEMENT 2024.docx Supporting Statement A Uploaded 2024-09-19 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
271057 NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
25 0
25 0
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE EIB 24-06 NOTICE OF CLAIM AND PROOF OF LOSS MEDIUM - TERM INSURANCE

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25 0 0 25 0 0
Annual Time Burden (Hours) 25 0 0 25 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No