Consent To Receive Employee Benefit Plan Disclosures Electronically

Consent to Receive Employee Benefit Plan Disclosures Electronically

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0121 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Consent To Receive Employee Benefit Plan Disclosures Electronically	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 2520.104b-1(c)(2)(ii)(A)-(C) 29 CFR 2520.104-b-1(c)(1)(iii)

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: 47,302	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	4,792,744	4,792,744
Annual IC Time Burden (Hours)	19,709	19,709
Annual IC Cost Burden (Dollars)	239,637	239,637

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.