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Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
OMB: 1212-0034
IC ID: 13558
OMB.report
PBGC
OMB 1212-0034
ICR 201402-1212-005
IC 13558
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0034 can be found here:
2023-03-24 - Revision of a currently approved collection
2020-04-28 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4219
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
806
0
0
269
0
537
Annual IC Time Burden (Hours)
18
0
0
6
0
12
Annual IC Cost Burden (Dollars)
13,106
0
0
-14,182
0
27,288
Documents for IC
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.