Notice of Failure to Make Required Contributions

ICR 199612-1212-002

OMB: 1212-0041

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
38435 Migrated
ICR Details
1212-0041 199612-1212-002
Historical Active 199607-1212-003
PBGC
Notice of Failure to Make Required Contributions
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/09/1996
Retrieve Notice of Action (NOA) 12/09/1996
  Inventory as of this Action Requested Previously Approved
09/30/1999 09/30/1999 09/30/1999
50 0 50
83 0 83
12,000 0 0

To implement a statutory requirement, PBGC requires contributing sponsors and parents of parent-subsidiary controlled groups of which a contributing sponsor is a member to submit form 200 to notify PBGC of failures to make required payments. PBGC uses this information to make decisions regarding enforcement of statutory liens.

None
None


No

1
IC Title Form No. Form Name
Notice of Failure to Make Required Contributions FORM-200

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 83 83 0 0 0 0
Annual Cost Burden (Dollars) 12,000 0 0 0 12,000 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.
12/09/1996


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