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Federal forms, ICRs, and supporting documents

Information Collection

Application Procedures for Approval of Benefit Suspensions for Certain Multiemployer Defined Benefit Pension Plans under § 432(e)(9)

IC 216853 under ICR 201903-1545-021 · OMB 1545-2260.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A Notice of Application.pdf Other-Notice of Application
Appendix B Power of Attorney and Declaration of Representatve.pdf Other-Appx B Power of Attorney & Dec
APPENDIX C-Checklist (Application for Benefit Suspension).pdf Other-Checklist
REG–102648–15 published 6-19-15.pdf
REG-102648-15		IC Document
REG–102648–15 published 6-19-15.pdf
REG-123640-15		IC Document
REG-101701-16 published 2-11-16.pdf
REG-101701-16		IC Document
RP 2015-34 published 7-6-15.pdf
RP 2015-34		IC Document
TD 9723 published 6-19-15.pdf
TD 9723		IC Document
TD 9735 published 9-2-15.pdf
TD 9735		IC Document
TD 9765 published 4-28-16.pdf
TD 9765		IC Document
TD 9767 published 5-5-2016.pdf
TD 9767		IC Document
RP 2016-27 published 4-26-16.pdf
RP 2016-27		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Notice of Application Yes No Printable Only
Other-Appx B Power of Attorney & Declaration Yes No Printable Only
Other-Checklist Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 28 0 0 0 0 28
Annual IC Time Burden (Hours) 14,000 0 0 0 0 14,000
Annual IC Cost Burden (Dollars) 2,648,020 0 0 0 0 2,648,020

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
REG-102648-15 03/21/2019
REG-123640-15 03/21/2019
REG-101701-16 03/21/2019
RP 2015-34 03/21/2019
TD 9723 03/21/2019
TD 9735 03/21/2019
TD 9765 03/21/2019
TD 9767 03/21/2019
RP 2016-27 03/21/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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