Information Collection

Wage Reports and Pension Information

IC 9470 under ICR 202203-0960-009 · OMB 0960-0547.

Documents and Forms

Document Name Document Type
sample correspondence wage rpts and pension.pdf Other-Sample Correspondence Request
Sample ERISA Notices.docx Other-Sample ERISA Notice

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Wage Reports and Pension Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 422.122(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Correspondence Request			sample correspondence wage rpts and pension.pdf		No		Paper Only
Other-Sample ERISA Notice			Sample ERISA Notices.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 580	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	580	0	580
Annual IC Time Burden (Hours)	474	184	290
Annual IC Cost Burden (Dollars)	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.