Information Collection

Establishing Creditable Coverage

IC 13447 under ICR 199801-1210-002 · OMB 1210-0103.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Establishing Creditable Coverage	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

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: 15,604	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	8,000,000	-1,000,000	9,000,000
Annual IC Time Burden (Hours)	336,060	85,060	251,000
Annual IC Cost Burden (Dollars)	31,800,000	-2,440,000	34,240,000

Documents for IC

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