Information Collection Request

Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)

ICR 201907-1212-002 · OMB 1212-0049 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form Modified Available
4010supportingstatementProposedRule.d1.docx Supporting Statement A Uploaded 2019-07-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13583 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form Modified

ICR Details

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  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved 05/31/2022
560 0 560
532 0 532
12,871,040 0 12,871,040





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IC Title Form No. Form Name
Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Appendix 1 Illustrative form



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