Information Collection

Final Rule Disclosure for Service Providers

IC 186714 under ICR 200809-1210-001 · OMB 1210-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0133 can be found here:

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IC Title:	Final Rule Disclosure for Service Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2550.408b-2(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,900	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,397,000	1,397,000
Annual IC Time Burden (Hours)	2,127,000	2,127,000
Annual IC Cost Burden (Dollars)	9,921,000	9,921,000

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