ANNUAL PREMIUM PAYMENT TO PBGC

ICR 198710-1212-001

OMB: 1212-0009

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
121627 Migrated
ICR Details
1212-0009 198710-1212-001
Historical Active 198608-1212-001
PBGC
ANNUAL PREMIUM PAYMENT TO PBGC
Revision of a currently approved collection   No
Regular
Approved without change 12/04/1987
Retrieve Notice of Action (NOA) 10/15/1987
  Inventory as of this Action Requested Previously Approved
12/31/1990 12/31/1990 08/31/1989
112,500 0 112,500
39,336 0 39,336
0 0 0

PBGC FORM 1 IS NEEDED TO DETERMINE THE AMOUNT OF THE ANNUAL PREMIUM PAYMENT THAT MUST BE PAID TO THE PBGC BY PENSION PLANS COVERED UNDER THE INSURANCE PROGRAM. THE PAPERWORK BURDEN IN PBGC FORM 1 IS THAT IMPOSED UNDER 29 CFR PART 2610.

None
None


No

1
IC Title Form No. Form Name
ANNUAL PREMIUM PAYMENT TO PBGC PBGC-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 112,500 112,500 0 0 0 0
Annual Time Burden (Hours) 39,336 39,336 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/15/1987


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