Information Collection

Rollover Election

IC 157121 under ICR 199405-3206-003 · OMB 3206-0212.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	ROLLOVER ELECTION	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	RI 38-117	No	No
Form	RI 38-118	No	No
Form	RI 37-22	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	-6,000	12,000
Annual IC Time Burden (Hours)	3,000	-3,000	6,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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