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 Name	Document 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 1.432(e)(9)-1

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Notice of Application	Appendix A Notice of Application.pdf	Yes	No	Printable Only
Other-Appx B Power of Attorney & Declaration	Appendix B Power of Attorney and Declaration of Representatve.pdf	Yes	No	Printable Only
Other-Checklist	APPENDIX C-Checklist (Application for Benefit Suspension).pdf	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	14,000	14,000
Annual IC Cost Burden (Dollars)	2,648,020	2,648,020

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.