Information Collection

Abandoned Individual Account Plan Termination

IC 13509 under ICR 201810-1210-003 · OMB 1210-0127.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0127 can be found here:

Documents and Forms

Document Name Document Type
PTE 2006-06(Pub. 2006-04-21).pdf www.gpo.gov/fdsys/pkg/FR-2006-04-21/pdf/06-3815.pdf Instruction
PTE 2006-06 Amendment 1(Pub. 2008-10-07).pdf www.gpo.gov/fdsys/pkg/FR-2008-10-07/pdf/E8-23429.pdf Instruction
A Notice of Intent to Terminate model-notice A-to-plan-sponsor-of-intent-to-terminate-plan-by-qta.doc Form
B Notification of Plan Abandonment and Intent to Serve as model-notification B-of-plan-abandonment-and-intent-to-serve-as-qta.doc Form
C Notice of Plan Termination model-notice C-of-plan-termination-to-participants-by-qta.doc Form
D Final Notice model-final-notice D -of-plan-termination-to-ebsa-by-qta.doc Form
404a-3 Notice of Plan Termination Model Participant Notice 2550 404a-3.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Abandoned Individual Account Plan Termination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 2550.404a-3 29 CFR 2578.1 29 CFR 2520.103-11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			PTE 2006-06(Pub. 2006-04-21).pdf	http://www.gpo.gov/fdsys/pkg/FR-2006-04-21/pdf/06-3815.pdf	Yes	No	Printable Only
Instruction			PTE 2006-06 Amendment 1(Pub. 2008-10-07).pdf	http://www.gpo.gov/fdsys/pkg/FR-2008-10-07/pdf/E8-23429.pdf	Yes	No	Printable Only
Form	A	Notice of Intent to Terminate	model-notice A-to-plan-sponsor-of-intent-to-terminate-plan-by-qta.doc		Yes	Yes	Printable Only
Form	B	Notification of Plan Abandonment and Intent to Serve as Qualified Termination Administrator	model-notification B-of-plan-abandonment-and-intent-to-serve-as-qta.doc		Yes	Yes	Printable Only
Form	C	Notice of Plan Termination	model-notice C-of-plan-termination-to-participants-by-qta.doc		Yes	Yes	Printable Only
Form	D	Final Notice	model-final-notice D -of-plan-termination-to-ebsa-by-qta.doc		Yes	Yes	Printable Only
Form	404a-3	Notice of Plan Termination	Model Participant Notice 2550 404a-3.docx		Yes	Yes	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,105	Number of Respondents for Small Entity: 24,603

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 54 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,014,463	-293,537	1,308,000
Annual IC Time Burden (Hours)	37,680	-10,020	47,700
Annual IC Cost Burden (Dollars)	562,225	-126,775	689,000

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.