DOL REGULATION 2560.503-1, CLAIMS PROCEDURE

ICR 198402-1210-004

OMB: 1210-0053

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
121518
Migrated
ICR Details
1210-0053 198402-1210-004
Historical Active
DOL/EBSA
DOL REGULATION 2560.503-1, CLAIMS PROCEDURE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/24/1984
Retrieve Notice of Action (NOA) 02/07/1984
  Inventory as of this Action Requested Previously Approved
02/28/1987 02/28/1987
73,567 0 0
20,368 0 0
0 0 0

THIS REGULATION REQUIRES EMPLOYEE BENEFIT PLANS TO ESTABLISH PROCEDURE WHICH PROVIDE ADEQUATE WRITTEN NOTICE TO ANY PARTICIPANT OR BENEFICIAR OF AN EMPLOYEE BENEFIT PLAN WHOSE CLAIM HAS BEEN DENIED. AN OPPORTUNITY FOR A REVIEW OF A DENIED CLAIM MUST ALSO BE PROVIDED, THE DECISION UPON A REVIEW MUST ALSO BE IN WRITING.

None
None


No

1
IC Title Form No. Form Name
DOL REGULATION 2560.503-1, CLAIMS PROCEDURE

  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 73,567 0 0 0 73,567 0
Annual Time Burden (Hours) 20,368 0 0 0 20,368 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.
02/07/1984


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