SUMMARY ANNUAL REPORT

ICR 198903-1210-001

OMB: 1210-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
121490
Migrated
ICR Details
1210-0040 198903-1210-001
Historical Active 198808-1210-001
DOL/EBSA
SUMMARY ANNUAL REPORT
Revision of a currently approved collection   No
Regular
Approved without change 04/13/1989
Retrieve Notice of Action (NOA) 03/27/1989
  Inventory as of this Action Requested Previously Approved
09/30/1989 09/30/1989 06/30/1989
187,043,720 0 187,043,720
5,044,868 0 5,044,868
0 0 0

EMPLOYEE BENEFIT PLANS ARE REQUIRED, WITH SOME EXCEPTIONS, TO PROVIDE SUMMARY ANNUAL REPORTS TO PARTICIPANTS AND BENEFICIARIES FOR PURPOSES OF COMMUNICATIN BASIC FINANCIAL INFORMATION ABOUT THE PLAN'S OPERATIONS AND PERFORMANC

None
None


No

1
IC Title Form No. Form Name
SUMMARY ANNUAL REPORT

  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 187,043,720 187,043,720 0 0 0 0
Annual Time Burden (Hours) 5,044,868 5,044,868 0 0 0 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.
03/27/1989


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