ANNUAL PREMIUM PAYMENT PACKAGE

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
121630	ANNUAL PREMIUM PAYMENT PACKAGE	Form	Migrated

ICR Details

OMB Control No: 1212-0009	ICR Reference No: 198906-1212-002
Status: Historical Active	Previous ICR Reference No: 198805-1212-001
Agency/Subagency: PBGC	Agency Tracking No:
Title: ANNUAL PREMIUM PAYMENT PACKAGE
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/06/1989
	Date Received in OIRA: 06/19/1989
Terms of Clearance: We have approved this collection of information for one year with the following changes. First, the PBGC shall require an enrolled actuary's certification on just the Schedule A, not on both the Schedule A and the Form 1 as originally submitted. Secondly, because the public comment said that the paperwork burden was significantly underestimated, the PBGC shall revise the burden hours associated with this collection of information (see burden hours assigned), and adjust the disclosure statement accordingly. Finally, the PBGC amend the current Payment of Premiums regulation as necessary to respond to the public comments submitted on the Schedule A form. The PBGC shall especially consider allowing small plans, whose variable rate premium will equal its maximum value (generally $34), to be exempt from the paperwork burden contained in lines 1-7 of Schedule A.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1990	05/31/1990	05/31/1991
Responses	123,480	0	120,179
Time Burden (Hours)	219,210	0	116,527
Cost Burden (Dollars)	0	0	0

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Abstract: THE PBGC PREMIUM PAYMENT PACKAGE IS NEEDED TO DETERMINE THE AMOUNT OF THE ANNUAL PREMIUM PAYMENT OWED TO THE PBGC BY PENSION PLANS COVERED UNDER THE INSURANCE PROGRAM. THE SCHEDULE A TO THE FORM 1 IS USED BY ALL SINGLE-EMPLOYER PLANS TO COMPUTE THE VARIABLE RATE PORTION OF THE PREMIUM.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ANNUAL PREMIUM PAYMENT PACKAGE	PBGC 1, SCHED. A, PBGC 1-ES

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ICR Summary of Burden

	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	123,480	120,179	0	0	3,301	0
Annual Time Burden (Hours)	219,210	116,527	0	0	102,683	0
Annual Cost Burden (Dollars)	0	0	0	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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/19/1989

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