Information Collection

Employee Retirement Income Security Act Blackout Period Notice

IC 13502 under ICR 202407-1210-005 · OMB 1210-0122.

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IC Title:

Employee Retirement Income Security Act Blackout Period Notice

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.101-3

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: 50,312

Number of Respondents for Small Entity: 44,063

Affected Public: Private Sector

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

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	8,045,170	635,950	7,409,220
Annual IC Time Burden (Hours)	85,926	-2,979	88,905
Annual IC Cost Burden (Dollars)	244,734	-79,790	324,524

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