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 Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA 4010 (pre-PPA) Appendix 3 - Form.doc Yes Yes Fillable Fileable Signable
Form N/A 4010 (PPA) Appendix 1 - PPA Form.pdf Yes Yes Fillable Fileable Signable
Instruction Appendix 2 - PPA Form.pdf Yes Yes Fillable Fileable Signable
Other-Overview Overview.pdf Yes Yes Fillable Fileable Signable
Form and Instruction N/A 4010 Screenshots (PPA) Appendix 3 - PPA Screenshots.pdf Yes Yes Fillable Fileable Signable
Form and Instruction NA 4010 screen shots (pre-PPA) Appendix 1 - Screen Shots.pdf Yes Yes Fillable Fileable Signable
Instruction Appendix 2 - Instructions.doc Yes Yes Fillable Fileable Signable

General Government Executive Functions

 

300 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 300 -100 0 0 400 0
Annual IC Time Burden (Hours) 2,600 -880 0 0 3,480 0
Annual IC Cost Burden (Dollars) 5,167,500 -332,500 0 0 5,500,000 0

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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