Employee Benefit Plan Claims Procedure Under the Employee Retirement Income Security Act of 1974 (ERISA)

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IC Title:	Employee Benefit Plan Claims Procedure Under the Employee Retirement Income Security Act of 1974 (ERISA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,700,000	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	18,000,000	-100,000,000	118,000,000
Annual IC Time Burden (Hours)	336,200	20,200	316,000
Annual IC Cost Burden (Dollars)	90,582,000	-5,055,000	95,637,000

Documents for IC

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