Liability for Termination of Single-Employer Plans

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0017 can be found here:

Documents and Forms

Document Name Document Type
Suppporting Statement.docx SUPPORTING STATEMENT IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Liability for Termination of Single-Employer Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4068 29 CFR 4062

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	0	5
Annual IC Time Burden (Hours)	60	0	60
Annual IC Cost Burden (Dollars)	19,980	1,800	18,180

Documents for IC

Title	Document	Date Uploaded
SUPPORTING STATEMENT	Suppporting Statement.docx	01/31/2011

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