Notice of Failure to Make Required Contributions

ICR 201509-1212-002

OMB: 1212-0041

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
13574 Modified
ICR Details
1212-0041 201509-1212-002
Historical Active 201503-1212-006
PBGC
Notice of Failure to Make Required Contributions
Revision of a currently approved collection   No
Regular
Approved without change 11/24/2015
Retrieve Notice of Action (NOA) 09/11/2015
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 06/30/2018
165 0 165
990 0 990
146,400 0 40,755

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.

US Code: 29 USC 1083(k) Name of Law: ERISA
  
None

1212-AB06 Final or interim final rulemaking 80 FR 54980 09/11/2015

Yes

1
IC Title Form No. Form Name
Notice of Failure to Make Required Contributions Form 200 Notice of Failure to Make Required Contributions

  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 165 165 0 0 0 0
Annual Time Burden (Hours) 990 990 0 0 0 0
Annual Cost Burden (Dollars) 146,400 40,755 0 0 105,645 0
No
No

$42,500
No
No
No
No
No
Uncollected
Daniel Liebman 202 326-4000 ext. 6510

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/11/2015


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