Information Collection

Small Insurers Insurer Group Affliations

IC 225986 under ICR 202502-1505-004 · OMB 1505-0257.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TBD Terrorism Risk Insurance Program: Small Insurers Small Insurers Insurer Group Affliations	Form
2025 Draft Data Call Instructions Small Insurers.docx	Instruction
2025 Draft Data Call Instructions Small Insurers.docx	Instruction
TBD Terrorism Risk Insurance Program: Small Insurers 2025 Draft Data Call Small Insurers.xlsx	Form
TBD Terrorism Risk Insurance Program: Small Insurers 2025 Draft Data Call Small Insurers.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 31 CFR 50.51

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					Yes	Yes	Fillable Fileable
Form	TBD				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: Data Collection and Comments in Aid of Analyses of the Terrorism Risk Insurance Program

FR Citation: 81 FR 95310

Number of Respondents: 200

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	-25	225
Annual IC Time Burden (Hours)	6,400	-800	7,200
Annual IC Cost Burden (Dollars)	0	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.

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