Notice of Failure to Make Required Contributions

Notice of Failure to Make Required Contributions

OMB: 1212-0041

IC ID: 13574

Information Collection (IC) Details

View Information Collection (IC)

Notice of Failure to Make Required Contributions
 
No Modified
 
Mandatory
 
29 CFR 4043

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 200 Notice of Failure to Make Required Contributions Form 200.pdf Yes Yes Paper Only
Instruction Form 200 Instr._Markup for 2009 (3-yr rollover)_to OMB.pdf Yes Yes Paper Only

Income Security General Retirement and Disability

 

185 0
   
Private Sector Businesses or other for-profits
 
   5 %

  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 426 0 0 348 0 78
Annual IC Time Burden (Hours) 873 0 0 713 0 160
Annual IC Cost Burden (Dollars) 305,550 0 0 261,550 0 44,000

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