SUMMARY ANNUAL REPORT FURNISHED TO PARTICIPANTS AND BENEFICIARIES OF EMPLOYEE BENEFIT PLANS UNDER ERISA

ICR 198206-1210-001

OMB: 1210-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1210-0040 198206-1210-001
Historical Active
DOL/EBSA
SUMMARY ANNUAL REPORT FURNISHED TO PARTICIPANTS AND BENEFICIARIES OF EMPLOYEE BENEFIT PLANS UNDER ERISA
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/09/1982
Retrieve Notice of Action (NOA) 06/29/1982
  Inventory as of this Action Requested Previously Approved
06/30/1985 06/30/1985
121,131,792 0 0
2,350,211 0 0
0 0 0

EMPLOYEE BENEFIT PLANS COVERED UNDER ERISA WHICH FILE AN ANNUAL REPORT (FOM 5500 SERIES) ARE REQUIRED TO PROVIDE PARTICIPANTS AND BENEFICIARIES WITH SUMMARIES OF THE ANNUAL REPORT. THESE AMENDMENTS ARE NEEDED TO ACCOMMODATE THIS REQUIREMENT TO THE TRIENNIAL FILING SYSTEM FOR SMALL PLANS FILING THE FORM 5500-R.

None
None


No

1
IC Title Form No. Form Name
SUMMARY ANNUAL REPORT FURNISHED TO PARTICIPANTS AND BENEFICIARIES OF EMPLOYEE BENEFIT PLANS UNDER ERISA

  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 121,131,792 0 0 121,131,792 0 0
Annual Time Burden (Hours) 2,350,211 0 0 2,350,211 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
06/29/1982


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