Information Collection Request

Administrative Appeals

ICR 201905-1212-010 · OMB 1212-0061 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 723 Administrative Appeals (Individuals) Form and Instruction Modified Available
SS Appeals v.6.docx Supporting Statement A Uploaded 2019-05-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
46312 Administrative Appeals (Employers) Modified
46311 Administrative Appeals (Individuals) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 08/31/2019
600 0 900
212 0 643
33,440 0 46,680





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Administrative Appeals (Employers)
Administrative Appeals (Individuals) 724, 723 Request for Additional Time to File an Appeal to a PBGC Benefit Determination ,   Appeal of a PBGC Benefit Determination

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 600 900 0 -300 0 0
Annual Time Burden (Hours) 212 643 0 -431 0 0
Annual Cost Burden (Dollars) 33,440 46,680 0 -13,240 0 0


Reginfo record details
  No