Information Collection

Notices Following a Substantial Cessation of Operations

IC 237358 under ICR 201907-1212-004 · OMB 1212-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 4062(e)-04 Notices Following a Substantial Cessation of Operations	Form
Form 4062-E Instructions, Without Watermark .pdf	Instruction
Form 4062(e)-01 Notice of ERISA 4062(e) Event Form 4062(e)-01 Without Watermark.pdf	Form
Form 4062(e)-02 Notice of Election Under ERISA 4062(e)(4) Form 4062(e)-02 Without Watermark.pdf	Form
Form 4062(e)-03 Notice of Additional Contributions Under ERISA 4062(e)(4 Form 4062(e)-03 Without Watermark.pdf	Form
Form 4062(e)-04 Notice of Failure to Make Additional Contributions Under Form 4062(e)-04 Without Watermark.pdf	Form

IC Title:

Notices Following a Substantial Cessation of Operations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 4062(e)-04	Notice of Failure to Make Additional Contributions Under ERISA 4062(e)(4)	Form 4062(e)-04 Without Watermark.pdf	Yes	Yes	Fillable Fileable
Form	Form 4062(e)-01	Notice of ERISA 4062(e) Event	Form 4062(e)-01 Without Watermark.pdf	Yes	Yes	Fillable Fileable
Form	Form 4062(e)-02	Notice of Election Under ERISA 4062(e)(4)	Form 4062(e)-02 Without Watermark.pdf	Yes	Yes	Fillable Printable
Form	Form 4062(e)-03	Notice of Additional Contributions Under ERISA 4062(e)(4)	Form 4062(e)-03 Without Watermark.pdf	Yes	Yes	Fillable Printable
Instruction			Form 4062-E Instructions, Without Watermark .pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	315	315
Annual IC Cost Burden (Dollars)	92,750	92,750

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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