Information Collection

Erisa Procedure 75-1 Exemption Procedure Under Section 408(a) Of Erisa

IC 121543 under ICR 198707-1210-002 · OMB 1210-0060.

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Information Collection (IC) Details

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IC Title:	ERISA PROCEDURE 75-1 EXEMPTION PROCEDURE UNDER SECTION 408(A) OF ERISA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 525	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	895	895
Annual IC Time Burden (Hours)	14,938	14,938
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.