Information Collection

Class Exemption Notice to Department of Labor, EBSA

IC 198747 under ICR 202404-1210-002 · OMB 1210-0133.

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IC Title:	Class Exemption Notice to Department of Labor, EBSA	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:

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: 10,282	Number of Respondents for Small Entity: 3,140

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 96 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,282	6,673	3,609
Annual IC Time Burden (Hours)	5,148	3,339	1,809
Annual IC Cost Burden (Dollars)	313	142	171

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