Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1)

Annual Report for Multiple Employer Welfare Arrangements

OMB: 1210-0116

IC ID: 13484

Information Collection (IC) Details

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Annual Report for Multiple Employer Welfare Arrangements and Certain Entities Claiming Exception (Form M-1)
 
No Modified
 
Mandatory
 
29 CFR 2520.101-2

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form M-1 Report for Multiple Employer Welfare Arrangements (MEWAs) and Certain Entitiies Claiming Exception (ECEs) 2017 M1-Package.rtf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

551 73
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 551 0 0 95 0 456
Annual IC Time Burden (Hours) 116 0 0 19 0 97
Annual IC Cost Burden (Dollars) 139,599 0 0 57,699 0 81,900

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