Information Collection Request

Notice of Blackout Period Under ERISA

ICR 201201-1210-004 · OMB 1210-0122 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Blackout_PRAss12(20120420).docx Supporting Statement A Uploaded 2012-04-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13502 Notice of Blackout Period Under ERISA Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2015 36 Months From Approved 06/30/2012
6,100,000 0 3,465,447
195,800 0 183,342
1,900,000 0 1,628,760





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Notice of Blackout Period Under ERISA

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,100,000 3,465,447 0 0 2,634,553 0
Annual Time Burden (Hours) 195,800 183,342 0 0 12,458 0
Annual Cost Burden (Dollars) 1,900,000 1,628,760 0 0 271,240 0


Reginfo record details
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