Pension Benefit Statement

Pension Benefit Statement

OMB: 1210-0166

IC ID: 242407

Documents and Forms
Information Collection (IC) Details

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Pension Benefit Statement
 
No Modified
 
Mandatory
 
29 CFR 2520.105-3

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Model Lifetime APPENDIX I-II-07-21-2020-clean.docx Yes Yes Printable Only

Income Security General Retirement and Disability

 

765,124 670,096
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   96 %

  Approved 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 447,584,067 0 0 36,650,734 0 410,933,333
Annual IC Time Burden (Hours) 162 0 0 -19,513 0 19,675
Annual IC Cost Burden (Dollars) 471,237,675 0 0 -27,720,718 0 498,958,393

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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