Information Collection

492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP

IC 201548 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⚠️ Notice: This information collection may be referencing outdated material.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 494 NELRP and NSP 492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP	Form and Instruction
494 NELRP and NSP 494 HRSA NELRP and NSP 2012 494 HRSA NELRP and NSP 2012 Participant Questionnaire 3-13-12.docx	Form and Instruction
492 492 PBGC Retirement Instrument Survey 2012 492 PBGC Retiree Instrument FINAL.DOCX	Form and Instruction
493 493 PBGC Participant Caller Instrument 2012 493 PBGC Participant Caller Instrument FINAL.DOCX	Form and Instruction

IC Title:

492 - 494 PBGC Retirement/Participant and HRSA NELRP/NSP

Agency IC Tracking Number:

492 - 494

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	494 NELRP and NSP	494 HRSA NELRP and NSP	2012 494 HRSA NELRP and NSP 2012 Participant Questionnaire 3-13-12.docx	Yes	Yes	Fillable Fileable
Form and Instruction	492	492 PBGC Retirement Instrument Survey	2012 492 PBGC Retiree Instrument FINAL.DOCX	No		Fillable Printable
Form and Instruction	493	493 PBGC Participant Caller Instrument	2012 493 PBGC Participant Caller Instrument FINAL.DOCX	No		Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	200	200
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.