Information Collection

IDR Entity Certification and IDR Entity Monthly Reporting

IC 248857 under ICR 202606-1210-003 · OMB 1210-0169.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
7. Tri-dept - IDR certification application (data elements) clean 6.8.26.docx	Other-IDR Certification Application
8. Tri-dept - notice of petition for certification denial or revocation clean 6.8.26.docx	Other-Notice of Petition for Denial
9. Tri-dept - monthly IDR entity reporting requirements (data elements) clean 6.8.26.docx	Other-Monthly IDR Entity Reporting R
APPENDIX 6 - IDRE Written Payment Determination 6.8.26.docx	Other-Certified IDR Entity Written D

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-IDR Certification Application	Yes	Yes	Fillable Printable
Other-Notice of Petition for Denial or Revocation	Yes	Yes	Fillable Printable
Other-Monthly IDR Entity Reporting Requirements	Yes	Yes	Fillable Printable
Other-Certified IDR Entity Written Determination	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	46	3	43
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	14,507	4,615	9,892

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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