ERISA Technical Release 91-1

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Information Collection (IC) Details

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IC Title:	ERISA Technical Release 91-1	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: 66	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	66	30	36
Annual IC Time Burden (Hours)	5,775	2,639	3,136
Annual IC Cost Burden (Dollars)	90,000	44,000	46,000

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