Information Collection

Employee Benefit Plan Claims Procedure Under the Employee Retirement Income Security Act of 1974 (ERISA)

IC 13352 under ICR 200401-1210-001 · OMB 1210-0053.

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Documents and Forms

Documents and forms in this information collection
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IC Title:

Employee Benefit Plan Claims Procedure Under the Employee Retirement Income Security Act of 1974 (ERISA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of 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: 6,700,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,000,000	-100,000,000	118,000,000
Annual IC Time Burden (Hours)	336,200	20,200	316,000
Annual IC Cost Burden (Dollars)	90,582,000	-5,055,000	95,637,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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