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Default Electronic Disclosure by Employee Pension Benefit Plans under ERISA
Consent to Receive Employee Benefit Plan Disclosures Electronically
OMB: 1210-0121
IC ID: 237859
OMB.report
DOL/EBSA
OMB 1210-0121
ICR 201909-1210-009
IC 237859
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0121 can be found here:
2023-08-16 - Extension without change of a currently approved collection
2020-05-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Default Electronic Disclosure by Employee Pension Benefit Plans under ERISA
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 2520.104b-31
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
702,540
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
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
69,809,138
0
69,809,138
0
0
0
Annual IC Time Burden (Hours)
649,078
0
649,078
0
0
0
Annual IC Cost Burden (Dollars)
16,444,170
0
16,444,170
0
0
0
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.