Information Collection

Furnishing Documents to the Secretary of Labor on Request Under ERISA Section 104(a)(6)

IC 13473 under ICR 202402-1210-001 · OMB 1210-0112.

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IC Title:	Furnishing Documents to the Secretary of Labor on Request Under ERISA Section 104(a)(6)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.104a-8

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,181	Number of Respondents for Small Entity: 1,039

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

Percentage of Respondents Reporting Electronically: 96 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,181	288	893
Annual IC Time Burden (Hours)	53	12	41
Annual IC Cost Burden (Dollars)	826	105	721

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