OMB
.report
Search
PTE 90-1; Insurance Company Pooled Separate Accounts
PTE 1990-1; Insurance Company Pooled Separate Accounts
OMB: 1210-0083
IC ID: 43796
OMB.report
DOL/EBSA
OMB 1210-0083
ICR 202112-1210-002
IC 43796
( )
Documents and Forms
Document Name
Document Type
Final PTE 90-1.pdf
Other-PTE 90-1
Final PTE 90-1.pdf
Other-PTE 90-1
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PTE 90-1; Insurance Company Pooled Separate Accounts
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-PTE 90-1
Final PTE 90-1.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
108
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
1,080
0
0
60
0
1,020
Annual IC Time Burden (Hours)
180
0
0
10
0
170
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.