Information Collection

Pte 84-24

IC 220614 under ICR 202403-1210-004 · OMB 1210-0158.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
89 FR 32302.pdf	Other-PTE 1984-24
89 FR 32302.pdf	Other-PTE 1984-24

IC Title:

PTE 84-24

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 2570.30

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PTE 1984-24			89 FR 32302.pdf		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 89,818

Number of Respondents for Small Entity: 88,806

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 94 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,498,615	1,240,574	258,041
Annual IC Time Burden (Hours)	1,093,403	1,048,126	45,277
Annual IC Cost Burden (Dollars)	191,759	180,016	11,743

Documents for IC

table that charts IC Documents
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.