Information Collection

Grandfathered Plan Disclosoure and Recoredkeeping Requirement

IC 193127 under ICR 201006-1210-001 · OMB 1210-0140.

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Information Collection (IC) Details

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IC Title:	Grandfathered Plan Disclosoure and Recoredkeeping Requirement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 2590.715-1251(g)

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: 2,200,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	56,347,000	56,347,000
Annual IC Time Burden (Hours)	323,000	323,000
Annual IC Cost Burden (Dollars)	437,000	437,000

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