Notices Following a Substantial Cessation of Operations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 4062(e)-04 Notice of Failure to Make Additional Contributions Under ERISA 4062(e)(4)	Form	New	Available
Form Form 4062(e)-03 Notice of Additional Contributions Under ERISA 4062(e)(4)	Form	New	Available
Form Form 4062(e)-02 Notice of Election Under ERISA 4062(e)(4)	Form	New	Available
Form Form 4062(e)-01 Notice of ERISA 4062(e) Event	Form	New	Available
4062(e) Supporting Statement.02.docx	Supporting Statement A	Uploaded 2019-07-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
237358	Notices Following a Substantial Cessation of Operations	Form	New	Notice of Failure to Make Additional Contributions Under ERISA 4062(e)(4)
237358	Notices Following a Substantial Cessation of Operations	Form	New	Notice of Additional Contributions Under ERISA 4062(e)(4)
237358	Notices Following a Substantial Cessation of Operations	Form	New	Notice of Election Under ERISA 4062(e)(4)
237358	Notices Following a Substantial Cessation of Operations	Form	New	Notice of ERISA 4062(e) Event
237358	Notices Following a Substantial Cessation of Operations	Instruction	New

ICR Details

OMB Control No: 1212-0073	ICR Reference No: 201907-1212-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: PBGC	Agency Tracking No:
Title: Notices Following a Substantial Cessation of Operations
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/29/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/29/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved
Responses	70	0	0
Time Burden (Hours)	315	0	0
Cost Burden (Dollars)	92,750	0	0

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Abstract: Section 4062(e) of the Employee Retirement Income Security Act of 1974 (ERISA) imposes reporting obligations in the event of a “substantial cessation of operations.” This form series is used to fulfill these reporting obligations.

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Authorizing Statute(s): US Code: 29 USC 1362 Name of Law: Liability for termination of single-employer plans under a distress termination or a termination by
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 21840	05/15/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 35890	07/25/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Notices Following a Substantial Cessation of Operations	Form 4062(e)-04, Form 4062(e)-01, Form 4062(e)-02, Form 4062(e)-03	Notice of ERISA 4062(e) Event ,   Notice of Election Under ERISA 4062(e)(4) ,   Notice of Additional Contributions Under ERISA 4062(e)(4) ,   Notice of Failure to Make Additional Contributions Under ERISA 4062(e)(4)

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ICR Summary of Burden

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	70	0	0	70	0	0
Annual Time Burden (Hours)	315	0	0	315	0	0
Annual Cost Burden (Dollars)	92,750	0	0	92,750	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/29/2019

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