Consent to Receive Employee Benefit Plan Disclosures Electronically

ICR 201801-1210-001

OMB: 1210-0121

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2018-03-19
IC Document Collections
ICR Details
1210-0121 201801-1210-001
Historical Active 201412-1210-006
DOL/EBSA
Consent to Receive Employee Benefit Plan Disclosures Electronically
Extension without change of a currently approved collection   No
Regular
Approved without change 05/22/2018
Retrieve Notice of Action (NOA) 03/23/2018
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
4,792,744 0 4,305,000
19,709 0 15,000
239,637 0 215,000

Regulations at 29 CFR 2520.104b-1 and 2520.107-1 govern the use of electronic technologies to satisfy information disclosure and recordkeeping requirements under Title I of the Employee Retirement Income Security Act of 1974, as amended (ERISA). Generally, consent is required to be obtained prior to providing disclosures electronically to participants and beneficiaries at a location other than the workplace.

US Code: 29 USC 1024(b) Name of Law: Employee Income Security Act of 1974
  
None

Not associated with rulemaking

  82 FR 47581 10/12/2017
83 FR 12820 03/23/2018
No

1
IC Title Form No. Form Name
Consent To Receive Employee Benefit Plan Disclosures Electronically

  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 4,792,744 4,305,000 0 0 487,744 0
Annual Time Burden (Hours) 19,709 15,000 0 0 4,709 0
Annual Cost Burden (Dollars) 239,637 215,000 0 0 24,637 0
No
No
Labor burdens have been updated to incorporate 2017 Departmental estimates for wages and overhead. Plan sponsor counts and participant counts have been updated to reflect the most current Form 5500 data available.

$0
No
    No
    No
No
No
No
Uncollected
Allan Beckmann 202 693-8429 [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.
03/23/2018


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