Information Collection

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

IC 121545 under ICR 199307-1210-002 · OMB 1210-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0060 can be found here:

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Information Collection (IC) Details

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IC Title:	ERISA PROCEDURE 75-1, EXEMPTION PROCEDURES UNDER SECTION 408(A)	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: 320	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	Previously Approved
Annual Number of Responses for this IC	320	-230	550
Annual IC Time Burden (Hours)	8,000	-7,592	15,592
Annual IC Cost Burden (Dollars)	0	0	0

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