Information Collection

Terminationof Single Employer Plans

IC 13567 under ICR 200407-1212-001 · OMB 1212-0036.

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Information Collection (IC) Details

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IC Title:	Terminationof Single Employer Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	EA-D	No	No
Form	SCHED.-EA-S	No	No
Form	REP-S	No	No
Form	MP	No	No
Form	601	No	No
Form	600	No	No
Form	500	No	No
Form	501	No	No
Form	602	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,175	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,175	-389	1,564
Annual IC Time Burden (Hours)	1,743	-503	2,246
Annual IC Cost Burden (Dollars)	1,973,000	108,000	1,865,000

Documents for IC

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