View Information Collection (IC)

View Information Collection (IC)

IC Title:	ERISA Summary Annual Report Requirement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.104(b)-1(c) 29 CFR 2520.104b-10 29 CFR 2520.104(b)-1(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Form for Pension Plans			Model Summary Annual Report Relating to Pension Plans.docx		Yes	No	Fillable Printable
Other-Model Form for Welfare Plans			Model Summary Annual Report Relating to Welfare Plans.docx		Yes	No	Fillable Printable

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: 750,452	Number of Respondents for Small Entity: 624,435

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 84 %

	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	166,349,812	0	-4,278,839	0	0	170,628,651
Annual IC Time Burden (Hours)	1,184,526	0	-632,480	0	0	1,817,006
Annual IC Cost Burden (Dollars)	24,358,345	0	-24,865,331	0	0	49,223,676

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.