Premium Payment Declaration And Annual Report For Plan Years Beginning On Or Before 9/1/75

PREMIUM PAYMENT DECLARATION AND ANNUAL REPORT FOR PLAN YEARS BEGINNING ON OR BEFORE 9/1/75

OMB: 1212-0009

IC ID: 121617

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PREMIUM PAYMENT DECLARATION AND ANNUAL REPORT FOR PLAN YEARS BEGINNING ON OR BEFORE 9/1/75
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PBGC-1 No No


    

120,000 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 120,000 0 0 120,000 0 0
Annual IC Time Burden (Hours) 240,000 0 0 240,000 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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