Information Collection Request
Employee Retirement Income Security Act Summary Annual Report Requirement
ICR 202212-1210-002 · OMB 1210-0040 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1210-0040 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 1210-0040 Supporting Statement 02.23.23 ROCIS.docx |
Supporting Statement A | Uploaded 2023-02-23 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13341 |  ERISA Summary Annual Report Requirement |
Other-Model Form for Pension Plans | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/EBSA |
| OMB Control No | 1210-0040 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202003-1210-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |