Information Collection

Employee Retirement Income Security Act Blackout Period Notice

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

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Information Collection (IC) Details

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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:

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 %

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