Information Collection Request
Employee Benefit Plan Claims Procedure Under the Employee Retirement Income Security Act
ICR 202301-1210-002 · OMB 1210-0053 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1210-0053 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 1210-0053 Claims Procedure 03-01-2023.docx |
Supporting Statement A | Uploaded 2023-03-01 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13352 |  Employee Benefit Plan Claims Procedure Under ERISA |
Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/EBSA |
| OMB Control No | 1210-0053 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202001-1210-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |