Qualified Domestic Relations Orders submitted to the PBGC

Qualified Domestic Relations Orders submitted to the PBGC

OMB: 1212-0054

IC ID: 43802

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Information Collection (IC) Details

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Qualified Domestic Relations Orders submitted to the PBGC
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PBGC QDRO BOOKLET 2015 Final.docx Yes No Printable Only

Income Security General Retirement and Disability

 

1,170 0
   
Individuals or Households
 
   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 1,170 0 0 -191 0 1,361
Annual IC Time Burden (Hours) 2,117 0 0 -2,021 0 4,138
Annual IC Cost Burden (Dollars) 704,500 0 0 -165,900 0 870,400

Title Document Date Uploaded
Supporting Statement 2015 Supporting Statement 2015 Final.docx 10/26/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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