Information Collection

303 PBGC Participant Caller 304 PBGC Retiree Caller

IC 192185 under ICR 200908-1090-001 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 303 PBGC Participa 303 PBGC Participant Caller 304 PBGC Retiree Caller	Form and Instruction
303 PBGC Participa 303 PBGC Participant Caller 2010 303 PBGC Participant Caller ACSI FINAL.doc	Form and Instruction
304 PBGC Retiree 304 PBGC Retiree Callers 2010 304 PBGC Retiree ACSI FINAL.doc	Form and Instruction

IC Title:

303 PBGC Participant Caller 304 PBGC Retiree Caller

Agency IC Tracking Number:

303-304

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	303 PBGC Participant	303 PBGC Participant Caller	2010 303 PBGC Participant Caller ACSI FINAL.doc		No		Paper Only
Form and Instruction	304 PBGC Retiree	304 PBGC Retiree Callers	2010 304 PBGC Retiree ACSI FINAL.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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