Information Collection

Voluntary Fiduciary Correction Program

IC 13494 under ICR 200805-1210-005 · OMB 1210-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CleanversionrevisedModel Application 4 11 06.doc	Other-Clean Version of Revised Model

IC Title:

Voluntary Fiduciary Correction Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-Clean Version of Revised Model Application					Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 38 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	11,790	11,790
Annual IC Time Burden (Hours)	5,625	5,625
Annual IC Cost Burden (Dollars)	109,000	109,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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