Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1210-0083	ICR Reference No: 200907-1210-004
Status: Historical Active	Previous ICR Reference No: 200606-1210-004
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: PTE 90-1; Insurance Company Pooled Separate Accounts
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	08/31/2009
Responses	60	0	70
Time Burden (Hours)	100	0	120
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	60	70	-10
Annual Time Burden (Hours)	100	120	-20
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There have been no program changes since the last submission. However, the Department has made certain minor adjustments based on new data. First, the number of insurance companies offering pooled separate accounts has dropped since the last submission from 70 respondents to 60 respondents, based on 2006 Form 5500 Series data. The result is that the Departments estimate of the annual hour burden for this ICR has decreased from 120 hours to 100 hours.