Request for Assistance from the Department of Labor, Employee Benefits Security Administration

ICR 202401-1210-003

OMB: 1210-0146

Federal Form Document

Forms and Documents

Document Name	Status
Form 301 Customer Service Intake Form Form and Instruction	Modified
1210-0146 Supporting Statement Web Intake Form 02-09-24.docx Supporting Statement A	2024-02-09
1210-0146 Online inquiry form nonsubstantive change July 2022 Final.docx Justification for No Material/Nonsubstantive Change	2022-07-15
page 4 Screenshot 2022-07-15 100647.png Supplementary Document	2022-07-15
inquiry form page 3 part 2 Screenshot 2022-07-15 100406.png Supplementary Document	2022-07-15
inquiry form page 3 Screenshot 2022-07-15 100047.png Supplementary Document	2022-07-15
inquiry form page 2 part 2 Screenshot 2022-07-15 095841.png Supplementary Document	2022-07-15
inquiry form page 2 Screenshot 2022-07-15 095245.png Supplementary Document	2022-07-15
ask-ebsa-form-mock-up.png Supplementary Document	2022-07-13
30-day FRN (1210-0146) published.pdf Supplementary Document	2021-01-14
29 U.S. Code § 1134 - Investigative authority.pdf Supplementary Document	2021-01-07
29 U.S. Code § 1143 - Research, studies, and reports _ U.S. Code _ US Law _ LII _ Legal Information Institute.pdf Supplementary Document	2021-01-07
60-day FRN (1210-0146) published.pdf Supplementary Document	2021-01-07

IC Document Collections

IC ID	Document Title	Status
198333	Customer Service Intake Form Form and Instruction	Modified