Information Collection

Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities

IC 248846 under ICR 202108-1210-008 · OMB 1210-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0169 can be found here:

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Information Collection (IC) Details

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IC Title:	Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,667	Number of Respondents for Small Entity: 7,540

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	13,743	13,743
Annual IC Time Burden (Hours)	26,422	26,422
Annual IC Cost Burden (Dollars)	60,162	60,162

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.