IDR Entity Certification and IDR Entity Monthly Reporting

No Surprises Act: IDR Process

Documents and Forms

Document Name Document Type
7. Tri-dept - IDR certification application (data elements) clean 9.28.21.docx Other-IDR Certification Application
7. Tri-dept - IDR certification application (data elements) clean 9.28.21.docx Other-IDR Certification Application
8. Tri-dept - notice of petition for certification denial or revocation clean 9.28.21.docx Other-Notice of Petition for Denial
8. Tri-dept - notice of petition for certification denial or revocation clean 9.28.21.docx Other-Notice of Petition for Denial
9. Tri-dept - monthly IDR entity reporting requirements (data elements) clean 9.28.21.docx Other-Monthly IDR Entity Reporting R
9. Tri-dept - monthly IDR entity reporting requirements (data elements) clean 9.28.21.docx Other-Monthly IDR Entity Reporting R
APPENDIX 6 - IDRE Written Payment Determination FINAL CHANGE 2.23.23.docx Other-Certified IDR Entity Written D
APPENDIX 6 - IDRE Written Payment Determination FINAL CHANGE 2.23.23.docx Other-Certified IDR Entity Written D

Information Collection (IC) Details

IC Title:	IDR Entity Certification and IDR Entity Monthly Reporting	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-IDR Certification Application	7. Tri-dept - IDR certification application (data elements) clean 9.28.21.docx	Yes	Yes	Fillable Printable
Other-Notice of Petition for Denial or Revocation	8. Tri-dept - notice of petition for certification denial or revocation clean 9.28.21.docx	Yes	Yes	Fillable Printable
Other-Monthly IDR Entity Reporting Requirements	9. Tri-dept - monthly IDR entity reporting requirements (data elements) clean 9.28.21.docx	Yes	Yes	Fillable Printable
Other-Certified IDR Entity Written Determination	APPENDIX 6 - IDRE Written Payment Determination FINAL CHANGE 2.23.23.docx	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43	5	38
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	7,306	-501	7,807

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.