Information Collection

Suspension of Benefits Under the Multiemployer Pension Reform Act of 2014

IC 216853 under ICR 201602-1545-019 · OMB 1545-2260.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2260 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A Notice of Application.docx	Other-Notice of Application
Appendix B Power of Attorney and Declaration of Representatve.docx	Other-Appx B Power of Attorney & Dec
APPENDIX C-Checklist (Application for Benefit Suspension).docx	Other-Checklist
2015-FRN-Temp-Reg.pdf Temp. Reg. Suspension of Benefits Under MPRA	IC Document
FRN-2015-Jun-19-NPRM.pdf NPRM Suspension of Benefits Under MPRA	IC Document
MPRA Voting Temp Reg 8 14 (clean).docx Temp Regs Partcipant Vote on an Approved Suspension of Benefits under MPRA	IC Document

IC Title:

Suspension of Benefits Under the Multiemployer Pension Reform Act of 2014

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.432(e)(9)(H) 26 CFR 1.432(e)(9)-1T

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice of Application	Appendix A Notice of Application.docx	Yes	No	Printable Only
Other-Appx B Power of Attorney & Declaration	Appendix B Power of Attorney and Declaration of Representatve.docx	Yes	No	Printable Only
Other-Checklist	APPENDIX C-Checklist (Application for Benefit Suspension).docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	14,000	14,000
Annual IC Cost Burden (Dollars)	2,648,020	2,648,020

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Temp. Reg. Suspension of Benefits Under MPRA	2015-FRN-Temp-Reg.pdf	06/22/2015
NPRM Suspension of Benefits Under MPRA	FRN-2015-Jun-19-NPRM.pdf	06/22/2015
Temp Regs Partcipant Vote on an Approved Suspension of Benefits under MPRA	MPRA Voting Temp Reg 8 14 (clean).docx	08/20/2015

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