Notice of Insolvency (29 CFR Part 4245)

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Documents and Forms

Document Name Document Type
Form Form 2 Notice of Insolvency (29 CFR Part 4245) Form
Form 2 Insolvency Notice insolvencynotice 9162015.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Insolvency (29 CFR Part 4245)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4245

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 2	Insolvency Notice	insolvencynotice 9162015.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	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	2,598	0	0	2,598
Annual IC Time Burden (Hours)	1	0	0	1
Annual IC Cost Burden (Dollars)	723	-825	-240	1,788

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.