Information Collection

Class Exemption Notice to Providers

IC 198746 under ICR 202404-1210-002 · OMB 1210-0133.

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IC Title:

Class Exemption Notice to Providers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2550.408(b)-2(c)

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

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 102,818

Number of Respondents for Small Entity: 31,401

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 96 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	102,818	66,724	36,094
Annual IC Time Burden (Hours)	124,634	106,543	18,091
Annual IC Cost Burden (Dollars)	3,128	1,415	1,713

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.