ERISA Summary Annual Report Requirement

ICR 199912-1210-001

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
13339
Migrated
ICR Details
1210-0040 199912-1210-001
Historical Active 199911-1210-002
DOL/EBSA
ERISA Summary Annual Report Requirement
Revision of a currently approved collection   No
Regular
Approved without change 02/02/2000
Retrieve Notice of Action (NOA) 12/02/1999
  Inventory as of this Action Requested Previously Approved
02/28/2003 02/28/2003 04/30/2002
235,000,000 0 235,000,000
1,390,172 0 1,369,577
114,057,000 0 111,375,000

ERISA 104(b)(3) and regulations at 29 CFR 2520.104b-10 require employee benefit plans to furnish a summary of the plan's annual report to participants and beneficiaries for purposes of disclosure of basic financial information.

None
None


No

1
IC Title Form No. Form Name
ERISA Summary Annual Report Requirement

  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 235,000,000 235,000,000 0 0 0 0
Annual Time Burden (Hours) 1,390,172 1,369,577 0 20,595 0 0
Annual Cost Burden (Dollars) 114,057,000 111,375,000 0 2,682,000 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.
12/02/1999


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