Notice of Failure to Make Required Contributions

Forms and Documents

Document Name	Status
Form 200_SupStmt_2012 ROLLOVER_to OMB.pdf Supporting Statement A	2012-02-14

IC Document Collections

IC ID	Document Title	Status
13574	Notice of Failure to Make Required Contributions Instruction	Modified

ICR Details

OMB Control No: 1212-0041	ICR Reference No: 201202-1212-003
Status: Historical Active	Previous ICR Reference No: 200901-1212-005
Agency/Subagency: PBGC	Agency Tracking No:
Title: Notice of Failure to Make Required Contributions
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2012
	Date Received in OIRA: 02/15/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2012
Responses	111	0	426
Time Burden (Hours)	333	0	873
Cost Burden (Dollars)	102,146	0	305,550

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Abstract: To implement a statutory requirement, PBGC requires contributing sponsors and parents of parent-subsidiary controlled groups of which a contributing sponsor is a member to submit Form 200 to notify PBGC of failures to make required payments. PBGC uses this information to make decisions regarding enforcement of statutory liens.

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Authorizing Statute(s): US Code: 29 USC 1083(k) Name of Law: ERISA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 76771	12/08/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 7619	02/13/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice of Failure to Make Required Contributions	200	Notice of Failure to Make Required Contributions

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	111	426	0	0	-315	0
Annual Time Burden (Hours)	333	873	0	0	-540	0
Annual Cost Burden (Dollars)	102,146	305,550	0	0	-203,404	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The changes in burden and cost are the result of a decrease in the number of expected filings based upon PBGC's experience in the last three years, and a revised estimate (based on a small survey of practitioners) in the hourly contracting rate from $350 for all plans to $320 for large plans and $130 for small plans. In addition, in light of the small number of filings, PBGC eliminated the assumption that when there is a subsequent payment failure and a subsequent filing due from the same filer, the average response time for the subsequent filing would be less.

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Annual Cost to Federal Government: $13,100

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/15/2012

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