MEWA ALJ Administrative Hearing Procedures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0148 can be found here:

Documents and Forms

Document Name Document Type
Procedures NPRMtoOMB63011.doc Other-Proposed Rule

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MEWA ALJ Administrative Hearing Procedures	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 2571.3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Proposed Rule			Procedures NPRMtoOMB63011.doc		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	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	Program Change Due to New Statute
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	177,000	177,000

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.