Terminationof Single Employer Plans

ICR 200407-1212-001

OMB: 1212-0036

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
13567 Migrated
ICR Details
1212-0036 200407-1212-001
Historical Active 200103-1212-001
PBGC
Terminationof Single Employer Plans
Extension without change of a currently approved collection   No
Regular
Approved without change 09/27/2004
Retrieve Notice of Action (NOA) 07/30/2004
Approved as submitted, but as a revision, not an extension.
  Inventory as of this Action Requested Previously Approved
09/30/2007 09/30/2007 09/30/2004
1,175 0 1,564
1,743 0 2,246
1,973,000 0 1,865,000

Plan administrators of plans terminating voluntarily must submit certain information to the PBGC and provide certain information to affected third parties. The PBGC needs the information required to be submitted to ensure that a voluntary termination if completed in accordance with statutory and regulatory requirements and to facilitate the payment of benefits to missing participants. Participants need the information required to be disclosed so that they will be informed about the status of the proposed termination of their plan and about their benefits upon termination.

None
None


No

1
IC Title Form No. Form Name
Terminationof Single Employer Plans EA-D, 500, 501, 600, 601, 602, SCHED.-EA-S, REP-S, MP

  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 1,175 1,564 0 0 -389 0
Annual Time Burden (Hours) 1,743 2,246 0 0 -503 0
Annual Cost Burden (Dollars) 1,973,000 1,865,000 0 0 108,000 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.
07/30/2004


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