Furnishing Documents to the Secreaty of Labor on Request under ERISA Section 104(a)(6) and Assessment of Civil Penalties under ERISA Section 502(c)(6)

ICR 200204-1210-002

OMB: 1210-0112

Federal Form Document

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Name
Status
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ICR Details
1210-0112 200204-1210-002
Historical Active 199908-1210-001
DOL/EBSA
Furnishing Documents to the Secreaty of Labor on Request under ERISA Section 104(a)(6) and Assessment of Civil Penalties under ERISA Section 502(c)(6)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/30/2002
Retrieve Notice of Action (NOA) 04/30/2002
  Inventory as of this Action Requested Previously Approved
12/31/2002 12/31/2002 10/31/2002
1,000 0 1,000
95 0 95
4,000 0 1,000

This regulation provides plan administrators with guidance on information required by ERISA to be furnished to the Secretary of the Department of Labor and on applicable civil penalties if ERISA requirements are not met.

None
None


No

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 95 95 0 0 0 0
Annual Cost Burden (Dollars) 4,000 1,000 0 0 3,000 0
No
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.
04/30/2002


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