Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)

ICR 202401-1212-004

OMB: 1212-0049

Federal Form Document

Forms and Documents

Document Name	Status
Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form	Modified
Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form	Modified
Justification Nonmaterial Change 4010 instructions.v1.docx Justification for No Material/Nonsubstantive Change	2024-01-18
Justification Nonmaterial Change 4010 instructions.v1.docx Justification for No Material/Nonsubstantive Change	2024-01-18
4010 ICR Supporting Statement 2022.04.docx Supporting Statement A	2023-01-17
4010 ICR Supporting Statement 2022.04.docx Supporting Statement A	2023-01-17

IC Document Collections

IC ID	Document Title	Status
13583	Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form	Modified
13583	Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) Form	Modified