Information Collection Request

Termination of Multiemployer Plans (29 CFR Part 4041A)

ICR 201905-1212-002 · OMB 1212-0020 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 001 Termination of Multiemployer Plans (29 CFR Part 4041A) Form and Instruction Modified Available
multi 0020 part 4041A final rule 4-25-19.docx Supporting Statement A Uploaded 2019-05-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13529 Termination of Multiemployer Plans (29 CFR Part 4041A) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2022 36 Months From Approved 11/30/2021
2,300 0 1,000
229 0 69
114,000 0 50,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Termination of Multiemployer Plans (29 CFR Part 4041A) 002, 003, 001 Notice of Termination ,   Actuarial Valuation ,   Withdrawal Liability

table that charts list of burden
  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 2,300 1,000 0 1,300 0 0
Annual Time Burden (Hours) 229 69 0 160 0 0
Annual Cost Burden (Dollars) 114,000 50,000 0 64,000 0 0


Reginfo record details
  No