Information Collection Request

Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B)

ICR 202501-1530-001 · OMB 1530-0014 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Annual Letter A Annual Letter for Executive Officers Form and Instruction Modified Available
Form Annual Letter B Annual Letter for Admitted Reinsurers Form and Instruction Modified Available
Form Annual Letter B Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B) Form and Instruction Modified Repair queued
1530-0014_Supporting_2025.docx Supporting Statement A Uploaded 2025-01-31 Repair queued
1530-0014_Supporting_2025.docx Supporting Statement A Uploaded 2025-01-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
15427 Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B) Form and Instruction ModifiedAnnual Letter for Executive Officers
15427 Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B) Form and Instruction ModifiedAnnual Letter for Admitted Reinsurers
15427 Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B) Form and Instruction Modified

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
341 0 341
6,394 0 6,394
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Annual Letters - Certificate of Authority (A) and Admitted Reinsurer (B) Annual Letter B, Annual Letter A ,  

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 341 341 0 0 0 0
Annual Time Burden (Hours) 6,394 6,394 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No