Information Collection

2014 556 PBGC Premium Filer Questionnaire - 2014 559 LBI ACSI Questionnaire

IC 211780 under ICR 201209-1090-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 559 2014 556 PBGC Premium Filer Questionnaire - 2014 559 LBI ACSI Questionnaire	Form and Instruction
556 2014 556 PBGC Premium Filer Questionnaire 2014 556 PBGC Premium Filer Questionnaire 03JUN2014.docx	Form and Instruction
557 2014 557 SBSE ACSI Questionnaire 2014 557 SBSE ACSI Questionnaire.docx	Form and Instruction
558 2014 558 WI ACSI Questionnaire 2014 558 WI ACSI Questionnaire.docx	Form and Instruction
559 LBI ACSI Questionaire 2014_559_LBI_ACSI_Questionnaire_OIRA.docx	Form and Instruction

IC Title:

2014 556 PBGC Premium Filer Questionnaire - 2014 559 LBI ACSI Questionnaire

Agency IC Tracking Number:

556 - 559

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?	Electronic Capability
Form and Instruction	559	LBI ACSI Questionaire	2014_559_LBI_ACSI_Questionnaire_OIRA.docx	No	Paper Only
Form and Instruction	556	2014 556 PBGC Premium Filer Questionnaire	2014 556 PBGC Premium Filer Questionnaire 03JUN2014.docx	No	Printable Only
Form and Instruction	557	2014 557 SBSE ACSI Questionnaire	2014 557 SBSE ACSI Questionnaire.docx	No	Printable Only
Form and Instruction	558	2014 558 WI ACSI Questionnaire	2014 558 WI ACSI Questionnaire.docx	No	Printable Only

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: 0 %

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)	183	183
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.