Survey of newly-insured plans 2008

Customer Service Focus Groups and Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0053 can be found here:

Documents and Forms

Document Name Document Type
Form no number Survey of newly-insured plans 2008 Form and Instruction
no number Questionnaire 1212-0053 Questionnaire for Newly Insured Plans.doc Form and Instruction
1212-0053 QandA Questionnaire for Newly Insured Plans.doc OMB-PBGC Q&A - November 2008 - Newly Insured Plans IC Document
1212-0053 Letter to PAs and Questionnaire - First Version.doc Questionnaire for Newly Insured Plans - Initial Version IC Document
1212-0053 Supporting Statement.doc Supporting Statement - Final Version IC Document

Information Collection (IC) Details

IC Title:	Survey of newly-insured plans 2008	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	no number	Questionnaire	1212-0053 Questionnaire for Newly Insured Plans.doc		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 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	400	0	0	0	0	0
Annual IC Time Burden (Hours)	100	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB-PBGC Q&A - November 2008 - Newly Insured Plans	1212-0053 QandA Questionnaire for Newly Insured Plans.doc	11/21/2008
Questionnaire for Newly Insured Plans - Initial Version	1212-0053 Letter to PAs and Questionnaire - First Version.doc	11/21/2008
Supporting Statement - Final Version	1212-0053 Supporting Statement.doc	11/21/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.