CLASS EXEMPTION 90-1 -- CERTAIN TRANSACTIONS INVOLVING INSURANCE COMPANY POOLED SEPARATE ACCOUNTS

ICR 199102-1210-002

OMB: 1210-0083

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1210-0083 199102-1210-002
Historical Active
DOL/EBSA
CLASS EXEMPTION 90-1 -- CERTAIN TRANSACTIONS INVOLVING INSURANCE COMPANY POOLED SEPARATE ACCOUNTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/25/1991
Retrieve Notice of Action (NOA) 02/25/1991
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994
1 0 0
1 0 0
0 0 0

THIS EXEMPTION ALLOWS PARTIES IN INTEREST OF AN EMPLOYEE BENEFIT PLAN THAT INVESTS IN AN INSURED POOLED SEPARATE ACCOUNT TO ENGAGE IN TRANSACTIONS WITH THE SEPARATE ACCOUNT IF THE PLAN'S PARTICIPATION IN THE SEPARATE ACCOUNT DOES NOT EXCEED CERTAIN LIMITS. SIX YEAR RECORDKEEPING IS REQUIRED.

None
None


No

1
IC Title Form No. Form Name
CLASS EXEMPTION 90-1 -- CERTAIN TRANSACTIONS INVOLVING INSURANCE COMPANY POOLED SEPARATE ACCOUNTS

  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 1 0 0 1 0 0
Annual Time Burden (Hours) 1 0 0 1 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.
02/25/1991


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