OMB
.report
Search
No Surprises Act: IDR Process
OMB: 1210-0169
IC ID: 252194
OMB.report
DOL/EBSA
OMB 1210-0169
ICR 202302-1210-003
IC 252194
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
2023-02-24 - RCF Recertification
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
No results were found.
View Information Collection (IC)
IC Title:
Agency IC Tracking Number:
IC Status:
Obligation to Respond:
CFR Citation:
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:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
Number of Respondents for Small Entity:
Affected Public:
Percentage of Respondents Reporting Electronically:
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
Annual IC Time Burden (Hours)
Annual IC Cost Burden (Dollars)
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.