Information Collection

Retirement Savings Lost and Found

IC 265718 under ICR 202509-1210-001 · OMB 1210-0172.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Lost Found Data Upload Template 10_23_24.xlsx lostandfound-intake.dol.gov/	Other-Template
Lost Found Data Upload Template 10_23_24.xlsx lostandfound-intake.dol.gov/	Other-Template
Instructions Lost and Found_10_23_24.docx lostandfound-intake.dol.gov/	Instruction
Instructions Lost and Found_10_23_24.docx lostandfound-intake.dol.gov/	Instruction
Galley Mockup_Data Elements_Compare Proposed ICR With Final ICR_8_16_24 5pm.pdf lostandfound-intake.dol.gov/	Other-Galley Mockup
Galley Mockup_Data Elements_Compare Proposed ICR With Final ICR_8_16_24 5pm.pdf lostandfound-intake.dol.gov/	Other-Galley Mockup
Lost and Found Supporting Statement 10-24-24.docx lostandfound-intake.dol.gov/	Other-Supporting Statement
Lost and Found Supporting Statement 10-24-24.docx lostandfound-intake.dol.gov/	Other-Supporting Statement

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 2510.3-3(d)(2)(ii)

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template	https://lostandfound-intake.dol.gov/	Yes	Yes	Fillable Fileable
Instruction	https://lostandfound-intake.dol.gov/	Yes	No	Printable Only
Other-Galley Mockup	https://lostandfound-intake.dol.gov/	Yes	No	Printable Only
Other-Supporting Statement	https://lostandfound-intake.dol.gov/	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150,920

Number of Respondents for Small Entity: 132,809

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150,940	150,940
Annual IC Time Burden (Hours)	26,017	26,017
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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