Information Collection Request

Summary Plan Description Requirements Under the Employee Retirement Income Security Act of 1974, as Amended

ICR 202003-1210-004 · OMB 1210-0039 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1210-0039 SPD SS- 4-22-2020 (clean).docx Supporting Statement A Uploaded 2020-04-22 Available
Supplemental Tables-2020v3.rtf Supplementary Document Uploaded 2020-03-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13335 Summary Plan Description Requirements Under ERISA Modified

ICR Details

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  Inventory as of this Action Requested Previously Approved
08/31/2023 36 Months From Approved 10/31/2022
112,733,000 0 112,733,000
162,956 0 289,000
235,556,141 0 324,020,000





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IC Title Form No. Form Name
Summary Plan Description Requirements Under ERISA

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 112,733,000 112,733,000 0 0 0 0
Annual Time Burden (Hours) 162,956 289,000 0 -126,044 0 0
Annual Cost Burden (Dollars) 235,556,141 324,020,000 0 -88,463,859 0 0


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