Information Collection Request

Employee Retirement Income Security Act Blackout Period Notice

ICR 201805-1210-004 · OMB 1210-0122 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Blackout PRAss18.docx Supporting Statement A Uploaded 2018-07-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13502 Employee Retirement Income Security Act Blackout Period Notice Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved 11/30/2018
9,439,990 0 6,400,000
218,553 0 198,000
2,403,893 0 2,100,000





Reginfo record details
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table that charts list of burden
IC Title Form No. Form Name
Employee Retirement Income Security Act Blackout Period Notice

table that charts list of burden
  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 9,439,990 6,400,000 0 0 3,039,990 0
Annual Time Burden (Hours) 218,553 198,000 0 0 20,553 0
Annual Cost Burden (Dollars) 2,403,893 2,100,000 0 0 303,893 0


Reginfo record details
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