Termination Premium

ICR 201807-1212-003

OMB: 1212-0064

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2018-07-19
Justification for No Material/Nonsubstantive Change
2018-07-19
Supporting Statement A
2017-01-26
IC Document Collections
IC ID
Document
Title
Status
45940 Unchanged
ICR Details
1212-0064 201807-1212-003
Historical Active 201701-1212-001
PBGC
Termination Premium
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/09/2018
Retrieve Notice of Action (NOA) 07/19/2018
  Inventory as of this Action Requested Previously Approved
05/31/2020 05/31/2020 05/31/2020
3 0 3
0 0 0
200 0 200

In certain cases where a PBGC-insured pension plan terminates in a distress or involuntary termination, the plan’s sponsor group must pay termination premiums to PBGC for three years under 29 USC 1307 and 29 CFR Part 4007, which also requires retention and production of records necessary to support premium payments. The information in this collection identifies the plan and sponsor group and lets PBGC verify premium computations. The retained records facilitate audits.

US Code: 29 USC 1302(b)(3), 1306, 1307 Name of Law: ERISA
  
None

Not associated with rulemaking

  81 FR 83882 11/22/2016
82 FR 8882 01/31/2017
No

1
IC Title Form No. Form Name
Form T and instructions T Termination Premium Declaration

  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 3 3 0 0 0 0
Annual Time Burden (Hours) 0 0 0 0 0 0
Annual Cost Burden (Dollars) 200 200 0 0 0 0
No
No

$270
No
    No
    Yes
No
No
No
Uncollected
Stephanie Cibinic 202 326-4000 ext. 6352 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/19/2018


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