Information Collection

Voluntary Fiduciary Correction Program

IC 13494 under ICR 201204-1210-002 · OMB 1210-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0118 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
pte2002-51final.pdf	Other-PTE 2002-51
pte2002-51amendment.pdf	Other-PTE 2002-51 (2006 Amendment)
vfcpdocument.pdf	Other-VFCP Document
vfcpchecklist.doc	Instruction
VFCP Checklist.mht www.dol.gov/ebsa/calculator/2006vfcpchecklist.html	Instruction
VCFP Model Application Form vfcpapplicationform.doc	Form

IC Title:

Voluntary Fiduciary Correction Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PTE 2002-51			pte2002-51final.pdf		Yes	No	Printable Only
Other-PTE 2002-51 (2006 Amendment)			pte2002-51amendment.pdf		Yes	No	Printable Only
Other-VFCP Document			vfcpdocument.pdf		Yes	No	Printable Only
Form	NA	VCFP Model Application Form	vfcpapplicationform.doc		Yes	No	Fillable Printable
Instruction			vfcpchecklist.doc		No		Printable Only
Instruction			VFCP Checklist.mht	http://www.dol.gov/ebsa/calculator/2006vfcpchecklist.html	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,760

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 38 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	119,761	43,519	76,242
Annual IC Time Burden (Hours)	25,920	19,057	6,863
Annual IC Cost Burden (Dollars)	1,174,000	900,597	273,403

Documents for IC

table that charts IC Documents
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.