Notice of Insolvency (29 CFR Part 4245)

Notice of Insolvency (29 CFR Part 4245)

OMB: 1212-0033

IC ID: 13555

Information Collection (IC) Details

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Notice of Insolvency (29 CFR Part 4245)
 
No Modified
 
Mandatory
 
29 CFR 4245

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 001 Notice of Insolvency Ppsd.Notice of Insolvency 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 002 Notice of Insolvency Benefit Level Ppsd.Notice of Insolvency Benefit Level 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 003 Combined NOI and NOIBL Ppsd.Combined NOI and NOIBL 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Instruction Ppsd.Terminated Insolvent Reg Instructions.7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes No Printable Only

General Government Executive Functions

 

1 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 1,038 0 -1,560 0 0 2,598
Annual IC Time Burden (Hours) 16 0 -4 0 0 20
Annual IC Cost Burden (Dollars) 10,000 0 -2,000 0 0 12,000

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