Information Collection

Reduction or Waiver of Partial Withdrawal Liability (29 CFR Part 4208)

IC 13570 under ICR 202604-1212-004 · OMB 1212-0039.

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Information Collection (IC) Details

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IC Title:	Reduction or Waiver of Partial Withdrawal Liability (29 CFR Part 4208)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4208

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	1,000	1,000

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

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