Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0032 can be found here:

Documents and Forms

Document Name Document Type
Form Form 1 Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281) Form
Form 1 Notice of Insolvency Benefit Level insolvencybenefitlevelnotice 9162015.docx Form
Form 2 Notice of Insolvency insolvencynotice 9162015.docx Form
Form 3 Application for Financial Assistance Initial applicationforfinancialassistance 9162015.docx Form
Form 4 Application for Financial Assistance Recurring applicationfinancialassistancerecurring 9162015.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4281

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 1	Notice of Insolvency Benefit Level	insolvencybenefitlevelnotice 9162015.docx	Yes	Yes	Fillable Fileable
Form	Form 2	Notice of Insolvency	insolvencynotice 9162015.docx	Yes	Yes	Fillable Fileable
Form	Form 3	Application for Financial Assistance Initial	applicationforfinancialassistance 9162015.docx	Yes	Yes	Fillable Fileable
Form	Form 4	Application for Financial Assistance Recurring	applicationfinancialassistancerecurring 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: 54	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	164,501	0	0	164,501
Annual IC Time Burden (Hours)	60	0	59	1
Annual IC Cost Burden (Dollars)	309,020	-98,133	0	407,153

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.