Information Collection Request

Furnishing Documents to the Secretary of Labor on Request Under Employee Retirement Income Security Act Section 104(a)(6)

ICR 202101-1210-002 · OMB 1210-0112 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
30-day FRN (1210-0112) published.pdf Supplementary Document Uploaded 2021-04-23 Repair queued
29 USC 1024.pdf Supplementary Document Uploaded 2021-04-22 Repair queued
60-day FRN (1210-0112) published.pdf Supplementary Document Uploaded 2021-04-22 Repair queued
1210-0112 Supporting Statement 1-11-21.docx Supporting Statement A Uploaded 2021-04-22 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13473 Furnishing Documents to the Secretary of Labor on Request Under ERISA Section 104(a)(6) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 06/30/2021
893 831
41 55
721 3,451





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Furnishing Documents to the Secretary of Labor on Request Under ERISA Section 104(a)(6)

table that charts list of burden
  Total Request 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 893 831 0 0 62 0
Annual Time Burden (Hours) 41 55 0 0 -14 0
Annual Cost Burden (Dollars) 721 3,451 0 0 -2,730 0


Reginfo record details
  No