Termination of Multiemployer Plans (29 CFR Part 4041A)

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IC Title:	Termination of Multiemployer Plans (29 CFR Part 4041A)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4041A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	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 Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,011	0	0	1,011
Annual IC Time Burden (Hours)	17	-2	0	19
Annual IC Cost Burden (Dollars)	3,850	-578	-530	4,958

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