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Federal forms, ICRs, and supporting documents

Information Collection

ERISA Summary Annual Report Requirement

IC 13341 under ICR 202602-1210-002 · OMB 1210-0040.

Documents and Forms
Document Name
Document Type
Other-Model Form for Pension Plans
Other-Model Form for Welfare Plans
Other-Model Form for Pension Plans f
Other-Model Form for Welfare Plans f
Information Collection (IC) Details

View Information Collection (IC)

ERISA Summary Annual Report Requirement
 
No Modified
 
Mandatory
 
29 CFR 2520.104(b)-1(b) 29 CFR 2520.104(b)-1(c) 29 CFR 2520.104b-10

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Model Form for Pension Plans Model Summary Annual Report Relating to Pension Plans 2-24-2023 ROCIS.docx Yes No Fillable Printable
Other-Model Form for Welfare Plans Model Summary Annual Report Relating to Welfare Plans 2-24-2023 ROCIS.docx Yes No Fillable Printable
Other-Model Form for Pension Plans for plan year 2022 Model Summary Annual Report Relating to Pension Plans for plan year 2022.docx Yes No Fillable Printable
Other-Model Form for Welfare Plans for plan year 2022 Model Summary Annual Report Relating to Welfare Plans for plan year 2022.docx Yes No Fillable Printable

Income Security General Retirement and Disability

 

839,758 689,736
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   96 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 209,869,516 0 0 31,657,967 0 178,211,549
Annual IC Time Burden (Hours) 15,209,906 0 0 14,141,584 0 1,068,322
Annual IC Cost Burden (Dollars) 46,945,095 0 0 28,521,976 0 18,423,119

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