Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures

ICR 201601-1210-001

OMB: 1210-0148

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2016-02-11
ICR Details
1210-0148 201601-1210-001
Historical Active 201311-1210-007
DOL/EBSA
Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures
Extension without change of a currently approved collection   No
Regular
Approved without change 06/15/2016
Retrieve Notice of Action (NOA) 02/29/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
10 0 10
20 0 20
595,700 0 548,900

Section 521 of ERISA, 29 U.S.C. 1151, provides that the Secretary of Labor may issue ex-parte cease and desist orders when it appears to the Secretary that the alleged conduct of a multiple employer welfare arrangement (MEWA) under section 3(40) of the Act, 29 U.S.C. 1002(40), is fraudulent, or creates an immediate danger to the public safety or welfare, or is causing or can be reasonably expected to cause significant, imminent, and irreparable public injury. Section 521(b) provides that a person that is adversely affected by the issuance of a cease and desist order may request an administrative hearing regarding the order. This information collection request describes the procedures before an administrative law judge (ALJ) when a person seeks an administrative hearing for review of such an order.

US Code: 29 USC 1151 Name of Law: Employee Retirement Income Security Act of 1974
  
US Code: 29 USC 1151 Name of Law: Employee Retirement Income Securit Act of 1974

Not associated with rulemaking

  80 FR 72990 11/23/2015
81 FR 11594 03/04/2016
No

1
IC Title Form No. Form Name
Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures

  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 10 10 0 0 0 0
Annual Time Burden (Hours) 20 20 0 0 0 0
Annual Cost Burden (Dollars) 595,700 548,900 0 0 46,800 0
No
No

$0
No
No
Yes
No
No
Uncollected
Christopher Cosby 202-693-8425 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/29/2016


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