Information Collection

Consent To Receive Employee Benefit Plan Disclosures Electronically

IC 13499 under ICR 202601-1210-002 · OMB 1210-0121.

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consent To Receive Employee Benefit Plan Disclosures Electronically	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 2520.104b-1(c)(2)(ii)(A)-(C) 29 CFR 2520.104-b-1(c)(1)(iii)

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: 836,879	Number of Respondents for Small Entity: 728,084

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 97 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	102,918,597	47,862,733	55,055,864
Annual IC Time Burden (Hours)	1,270,344	288,265	982,079
Annual IC Cost Burden (Dollars)	2,930,244	-171,137	3,101,381

Documents for IC

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].