Information Collection

Class Exemption Notice to Providers

IC 198746 under ICR 201803-1210-003 · OMB 1210-0133.

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Information Collection (IC) Details

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IC Title:	Class Exemption Notice to Providers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2550.408(b)-2(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34,696	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 54 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	34,696	696	34,000
Annual IC Time Burden (Hours)	17,616	616	17,000
Annual IC Cost Burden (Dollars)	9,639	-361	10,000

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