Information Collection

Disclosures by Insurers to General Account Policyholders

IC 13479 under ICR 202406-1210-001 · OMB 1210-0114.

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Information Collection (IC) Details

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IC Title:	Disclosures by Insurers to General Account Policyholders	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2550.401c-1

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: 316	Number of Respondents for Small Entity: 0

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	26,470	-511	26,981
Annual IC Time Burden (Hours)	112,498	-2,172	114,670
Annual IC Cost Burden (Dollars)	960	-9,832	10,792

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