Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)

Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)

OMB: 1212-0049

IC ID: 13583

Information Collection (IC) Details

View Information Collection (IC)

Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA 4010 screen shots Appendix 1 - Screen Shots.pdf Yes Yes Fillable Fileable Signable
Instruction Appendix 2 - Instructions.doc Yes Yes Fillable Fileable Signable
Form NA 4010 Appendix 3 - Form.doc Yes Yes Fillable Fileable Signable

General Government Executive Functions

 

400 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 400 0 0 0 0 400
Annual IC Time Burden (Hours) 3,480 0 0 0 0 3,480
Annual IC Cost Burden (Dollars) 5,500,000 0 0 0 0 5,500,000

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

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