ANNUAL REPORT

ICR 198003-1210-001

OMB: 1210-0016

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
121451 Migrated
ICR Details
1210-0016 198003-1210-001
Historical Active 198001-1210-001
DOL/EBSA
ANNUAL REPORT
Revision of a currently approved collection   No
Regular
Approved without change 06/18/1980
Retrieve Notice of Action (NOA) 03/14/1980
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 12/31/1981
600,000 0 600,000
3,700,000 0 3,900,000
0 0 0

SECTION 104 AND 4065 OF ERISA OF 1974 AND SECTION 6057(B) AND 6058 (A) OF THE INTERNAL REVENUE CODE REQUIRES THAT PLAN ADMINISTRATORS FILE AN ANNUAL REPORT.

None
None


No

1
IC Title Form No. Form Name
ANNUAL REPORT LABOR 5500,, 5500-C,, TREASURY, 5500-K & R

  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 600,000 600,000 0 0 0 0
Annual Time Burden (Hours) 3,700,000 3,900,000 0 0 -200,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/14/1980


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