Information Collection

Annual Funding Notice for Defined Benefit Pension Plans

IC 38427 under ICR 201909-1210-001 · OMB 1210-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0126 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX A Single-Employer Plans Model Notice 12-17-2014.docx	Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 12-17-2014.docx	Other-Model Notice

IC Title:

Annual Funding Notice for Defined Benefit Pension Plans

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Notice			APPENDIX A Single-Employer Plans Model Notice 12-17-2014.docx		Yes	No	Printable Only
Other-Model Notice			APPENDIX B Multiemployer Plans Model Notice 12-17-2014.docx		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,533

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 82 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	40,139,212	0	40,139,212
Annual IC Time Burden (Hours)	712,917	0	712,917
Annual IC Cost Burden (Dollars)	2,514,676	-13,038,781	15,553,457

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.