Information Collection

Electronic Notice

IC 212300 under ICR 201412-1210-004 · OMB 1210-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0153 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Apprenticeship and Training Plan Instructions.pdf www.dol.gov/ebsa/efileapprenticeshipandtrainingplanfilinginstructions.html	Instruction
Top Hat Plan Instructions.pdf www.dol.gov/ebsa/efiletophatplanfilinginstructions.html	Instruction
Alternative to For Apprenticeship and Training Plan Registration Form Apprenticeship and Training Plan Form.pdf www.askebsa.dol.gov/efile/Home/atp	Form
Alternative to For Top Hat Plan Registration Form Top Hat Plan Form.pdf www.askebsa.dol.gov/efile/Home/tophat	Form

IC Title:

Electronic Notice

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.104-22 29 CFR 2520.104-23

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
Instruction			Apprenticeship and Training Plan Instructions.pdf	http://www.dol.gov/ebsa/efileapprenticeshipandtrainingplanfilinginstructions.html	Yes	Yes	Fillable Fileable
Form	Alternative to Form 5500	Apprenticeship and Training Plan Registration Form	Apprenticeship and Training Plan Form.pdf	https://www.askebsa.dol.gov/efile/Home/atp	Yes	Yes	Fillable Fileable
Instruction			Top Hat Plan Instructions.pdf	http://www.dol.gov/ebsa/efiletophatplanfilinginstructions.html	Yes	Yes	Fillable Fileable
Form	Alternative to Form 5500	Top Hat Plan Registration Form	Top Hat Plan Form.pdf	https://www.askebsa.dol.gov/efile/Home/tophat	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,120

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: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,120	2,120
Annual IC Time Burden (Hours)	636	636
Annual IC Cost Burden (Dollars)	0	0

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.