Settlement Agreements Between a Plan and a Party in Interest

ICR 201507-1210-002

OMB: 1210-0091

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2015-08-19
IC Document Collections
ICR Details
1210-0091 201507-1210-002
Historical Active 201202-1210-005
DOL/EBSA
Settlement Agreements Between a Plan and a Party in Interest
Extension without change of a currently approved collection   No
Regular
Approved without change 12/01/2015
Retrieve Notice of Action (NOA) 08/27/2015
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved 11/30/2015
1,620 0 1,080
42 0 30
542 0 335

Prohibited Transaction Exemption (PTE) 94-71 exempts from certain restrictions of ERISA and certain taxes of the Code, settlement agreements entered into between a plan and a party in interest resulting from an investigation of an employee benefit plan by the Department. PTE 03-39 similarly exempts from certain restrictions of ERISA and certain taxes of the Internal Revenue Code, settlement agreements entered into between a plan and a party in interest in avoidance of litigation.

US Code: 29 USC 1108 Name of Law: ERISA
  
None

Not associated with rulemaking

  80 FR 34696 06/17/2015
80 FR 52065 08/27/2015
No

1
IC Title Form No. Form Name
Settlement Agreements Between a Plan and Party in Interest

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,620 1,080 0 0 540 0
Annual Time Burden (Hours) 42 30 0 0 12 0
Annual Cost Burden (Dollars) 542 335 0 0 207 0
No
No
The change in the burden estimate results from increases in the number of settlement agreements each year and in wage and postage rates.

$0
No
No
No
No
No
Uncollected
Chris Cosby 202 693-8540

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/27/2015


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