Information Collection Request

Checklists of Filings for Certified Surety and/or Certified Reinsuring Companies and for Admitted Reinsurer Companies

ICR 202411-1530-001 · OMB 1530-0061 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Not Assigned Annual Checklist for Certified Companies Form Unchanged Available
Form Not Assigned Annual Checklist for Admitted Reinsurers Form Unchanged Repair queued
Form Not Assigned List of Data (A) and List of Data (B) Form Unchanged Repair queued
industry_ucaa_form11.doc Supplementary Document Uploaded 2017-11-30 Available
industry_ucaa_form11.doc Supplementary Document Uploaded 2017-11-30 Repair queued
1530-0061_supporting_statement_2024.docx Supporting Statement A Uploaded 2024-11-15 Available
1530-0061_supporting_statement_2024.docx Supporting Statement A Uploaded 2024-11-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
15413 List of Data (A) and List of Data (B) Form UnchangedAnnual Checklist for Certified Companies
15413 List of Data (A) and List of Data (B) Form UnchangedAnnual Checklist for Admitted Reinsurers
15413 List of Data (A) and List of Data (B) Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2028 36 Months From Approved 05/31/2025
30 0 30
150 0 150
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
List of Data (A) and List of Data (B) Not Assigned, Not Assigned ,  

table that charts list of burden
  Total Approved 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 30 30 0 0 0 0
Annual Time Burden (Hours) 150 150 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No