Request for Assistance from the Department of Labor, Employee Benefits Security Administration

ICR 202409-1210-003

OMB: 1210-0146

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
198333 Unchanged
ICR Details
1210-0146 202409-1210-003
Received in OIRA 202401-1210-003
DOL/EBSA
Request for Assistance from the Department of Labor, Employee Benefits Security Administration
No material or nonsubstantive change to a currently approved collection   No
Regular 09/10/2024
  Requested Previously Approved
04/30/2027 04/30/2027
14,991 14,991
7,496 7,496
0 0

The Department of Labor's Employee Benefits Security Administration (EBSA) maintains a program designed to provide education and technical assistance to participants and beneficiaries as well as to employers, plan sponsors, and service providers related to their health and retirement plan benefits. EBSA assists participants in understanding their rights, responsibilities, and benefits under employee benefit law and intervenes informally on their behalf with the plan sponsor in order to assist them in obtaining the health and retirement benefits to which they may have been inappropriately denied, which can avert the necessity for a formal investigation or a civil action. EBSA maintains a toll-free telephone number through which inquirers can reach Benefits Advisors in ten Regional Offices. EBSA has also made a request for assistance form available on its website for those wishing to obtain assistance in this manner. Contact with EBSA is entirely voluntary. The collection of information is an intake form for assistance requests from the public. This information includes the plan type, broad categories of problem type, contact information for responsible parties, and a mechanism for the inquirer to attach relevant documents. Summary data from the existing intake form has also been used, in accordance with section 513 of ERISA, to respond to requests for information regarding employee benefit plans from members of Congress and governmental oversight entities, and to inform the policy formulation process.

US Code: 29 USC 1143 Name of Law: ERISA Section 513
   US Code: 29 USC 1134 Name of Law: ERISA Section 504
  
None

Not associated with rulemaking

  88 FR 58312 08/25/2023
89 FR 13750 02/23/2024
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,991 14,991 0 0 0 0
Annual Time Burden (Hours) 7,496 7,496 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The hour burden and monetized equivalent cost has been adjusted to reflect updated information on the number of web requests and labor costs. Therefore, the number of respondents has increased by 9,409 respondents, and the hour burden has increased by 4,705 hours.

$1,500
No
    No
    No
No
No
No
No
James Butikofer 202 693-8434 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/10/2024


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