Information Collection

ERISA Summary Annual Report Requirement

IC 13341 under ICR 201205-1210-001 · OMB 1210-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0040 can be found here:

Documents and Forms

Document Name Document Type
SAR Models.pdf Other-Model Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ERISA Summary Annual Report Requirement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.104b-10 29 CFR 2520.104(b)-1(b) 29 CFR 2520.104(b)-1(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Form			SAR Models.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 746,000	Number of Respondents for Small Entity: 596,000

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

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	169,000,000	12,953,000	156,047,000
Annual IC Time Burden (Hours)	2,300,000	157,900	2,142,100
Annual IC Cost Burden (Dollars)	58,300,000	11,749,000	46,551,000

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.