Information Collection

Voluntary Fiduciary Correction Program

IC 13494 under ICR 201809-1210-003 · OMB 1210-0118.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0118 can be found here:

Documents and Forms

Document Name Document Type
pte2002-51final.pdf Other-PTE 2002-51
pte2002-51amendment.pdf Other-PTE 2002-51 (2006 Amendment)
vfcpdocument.pdf Other-VFCP Document
VFCP Checklist United States Department of Labor.htm www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/correction-programs/vfcp/checklist Instruction
vcfpchecklist.pdf Instruction
VCFP Model Application Form model-application-form9-18.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Voluntary Fiduciary Correction Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PTE 2002-51			pte2002-51final.pdf		Yes	No	Printable Only
Other-PTE 2002-51 (2006 Amendment)			pte2002-51amendment.pdf		Yes	No	Printable Only
Other-VFCP Document			vfcpdocument.pdf		Yes	No	Printable Only
Form	NA	VCFP Model Application Form	model-application-form9-18.doc		Yes	No	Fillable Printable
Instruction			VFCP Checklist United States Department of Labor.htm	https://www.dol.gov/agencies/ebsa/employers-and-advisers/plan-administration-and-compliance/correction-programs/vfcp/checklist	Yes	No	Printable Only
Instruction			vcfpchecklist.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,621	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	207,209	156,509	50,700
Annual IC Time Burden (Hours)	7,295	-805	8,100
Annual IC Cost Burden (Dollars)	551,111	221,911	329,200

Documents for IC

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.