ERISA Summary Annual Report Requirement

ICR 200303-1210-002

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
13340
Migrated
ICR Details
1210-0040 200303-1210-002
Historical Active 200011-1210-003
DOL/EBSA
ERISA Summary Annual Report Requirement
Extension without change of a currently approved collection   No
Regular
Approved without change 05/08/2003
Retrieve Notice of Action (NOA) 03/21/2003
  Inventory as of this Action Requested Previously Approved
07/31/2006 07/31/2006 05/31/2003
304,195,943 0 235,000,000
421,761 0 1,404,924
188,211,000 0 119,327,000

ERISA section 104(b)(3) and regulations codified at 29 CFR 2520.104b-10 require employee benefit plans to furnish a summary of the plan's annual report to participate and applicable 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 304,195,943 235,000,000 0 0 69,195,943 0
Annual Time Burden (Hours) 421,761 1,404,924 0 0 -983,163 0
Annual Cost Burden (Dollars) 188,211,000 119,327,000 0 -3,640,000 72,524,000 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.
03/21/2003


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