Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)

Forms and Documents

Document Name	Status
multi0034ss - 6-2017.pdf Supporting Statement A	2017-06-13

IC Document Collections

IC ID	Document Title	Status
13558	Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)	Modified

ICR Details

OMB Control No: 1212-0034	ICR Reference No: 201706-1212-008
Status: Historical Active	Previous ICR Reference No: 201402-1212-005
Agency/Subagency: PBGC	Agency Tracking No:
Title: Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/24/2017
	Date Received in OIRA: 06/21/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	806	0	806
Time Burden (Hours)	45	0	18
Cost Burden (Dollars)	132,000	0	13,106

---

Abstract: In mass withdrawals, ERISA Sec. 4219(c)(1)(D) requires multiemployer plan sponsors to redetermine withdrawal liability and fully allocate unfunded vested benefits. In substantially all employers withdraw, Sec. 4209(c) requires collection of de minimis amounts. This regulation explains how to redetermine and allocate liabilities and requires notices to PBGC of mass withdrawal or if substantially all employers withdraw and of the required determinations.

---

Authorizing Statute(s): US Code: 29 USC 1399 Name of Law: ERISA
   US Code: 29 USC 1389 Name of Law: ERISA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16863	04/06/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28364	06/21/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	806	806	0	0	0	0
Annual Time Burden (Hours)	45	18	0	0	27	0
Annual Cost Burden (Dollars)	132,000	13,106	0	0	118,894	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The hour burden increased from 18 hours to 45 hours and the cost burden increased from $13,106 to $132,000 due to a change in the methodology for estimating the cost and hour burden.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/21/2017

---