Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures

Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures

OMB: 1210-0148

IC ID: 198355

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Multiple Employer Welfare Arrangement Administrative Law Judge Administrative Hearing Procedures
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 2571.3

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

Income Security General Retirement and Disability

 

10 6
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 686,900 0 0 18,000 0 668,900

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