IDR Entity Certification and IDR Entity Monthly Reporting

No Surprises Act: IDR Process

OMB: 1210-0169

IC ID: 248857

Information Collection (IC) Details

View Information Collection (IC)

IDR Entity Certification and IDR Entity Monthly Reporting
 
Yes Modified
 
Mandatory
 
29 CFR 2590

Document Type Form No. Form Name Instrument File URL 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

Income Security General Retirement and Disability

 

7 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  Requested 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 43 0 0 5 0 38
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 7,306 0 0 -501 0 7,807

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