Administrative Appeals (Individuals)

Administrative Appeals

OMB: 1212-0061

IC ID: 46311

Information Collection (IC) Details

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Administrative Appeals (Individuals)
 
No Modified
 
Voluntary
 
29 CFR 4003 Subpart D

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PBGC Form 723 Request for Additional Time to File an Appeal of a PBGC Benefit Determination e723 (2).doc No   Paper Only
Form PBGC Form 724 Appeal of a PBGC Benefit Determination e724 (2).doc No   Paper Only

Income Security General Retirement and Disability

 

896 0
   
Individuals or Households
 
   0 %

  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 896 0 0 50 0 846
Annual IC Time Burden (Hours) 643 0 0 53 0 590
Annual IC Cost Burden (Dollars) 43,780 0 0 482 0 43,298

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