View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Terrorism Risk Insurance Program Loss Reporting
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
TRIP 01
Initial Notice of Insured Loss
Initial Notice of Loss Revised 19Nov2010.doc
Yes
Yes
Fillable Fileable
Form and Instruction
TRIP 02
Certification of Loss
Certification of Loss Revised 19Nov2010.doc
Yes
Yes
Fillable Fileable
Form and Instruction
TRIP 02A
Schedule A
Schedule A Revised 19Nov2010.doc
Yes
Yes
Fillable Fileable
Form and Instruction
TRIP 02B
Schedule B
Schedule B Revised 19Nov2010.doc
Yes
Yes
Fillable Fileable
Form
TRIP 02C
Schedule C Bordereau
Schedule C 28Sept2010.xls
Yes
Yes
Fillable Fileable
Instruction
Schedule C Instructions 19Nov2010.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
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:
98 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
0
0
0
100
Annual IC Time Burden (Hours)
4,200
0
0
0
0
4,200
Annual IC Cost Burden (Dollars)
1,100,000
0
0
0
0
1,100,000
Documents for IC
Title
Document
Date Uploaded
Initial Notice of Insured Loss
Initial Notice of Loss Revised 19Nov2010.doc
11/19/2010
Certification of Loss
Certification of Loss Revised 19Nov2010.doc
11/19/2010
Schedule A
Schedule A Revised 19Nov2010.doc
11/19/2010
Schedule B
Schedule B Revised 19Nov2010.doc
11/19/2010
Schedule C Bordereau
Schedule C 28Sept2010.xls
11/19/2010
Schedule C Instructions
Schedule C Instructions 19Nov2010.doc
11/19/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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