Employee Retirement Income Security Act Blackout Period Notice

OMB 1210-0122

Pub. L. 107-204 amended section 101 of ERISA to require plan administrators to furnish affected participants and beneficiaries of individual account pension plans with advance written notice of a "blackout period" during which their right to direct or diversify investments or obtain a loan or distributions, may be temporarily suspended.

The latest form for Employee Retirement Income Security Act Blackout Period Notice expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1210-0122 SS Notice of Blackout Period Under ERISA 8-19-2024.docx Supporting Statement A
Employee Retirement Income Security Act Blackout Period Notice

All Historical Document Collections

202407-1210-005	Extension without change of a currently approved collection	2024-10-01
202107-1210-001 Approved without change	Extension without change of a currently approved collection	2021-09-30
201805-1210-004 Approved without change	Extension without change of a currently approved collection	2018-08-31
201504-1210-005 Approved without change	Extension without change of a currently approved collection	2015-06-17
201201-1210-004 Approved without change	Extension without change of a currently approved collection	2012-04-26
200904-1210-002 Approved without change	Extension without change of a currently approved collection	2009-05-07
200603-1210-001 Approved without change	Extension without change of a currently approved collection	2006-03-09
200301-1210-001 Approved without change	Extension without change of a currently approved collection	2003-01-24
200210-1210-003 Approved without change	New collection (Request for a new OMB Control Number)	2002-10-18