Information Collection Request

Termination of Single Employer Plans

ICR 201911-1212-004 · OMB 1212-0036 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Final rule 4041SupportingStmt.d1.docx Supporting Statement A Uploaded 2020-02-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13567 Termination of Single Employer Plans Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2023 36 Months From Approved 03/31/2021
1,513 0 1,426
30,941 0 29,890
6,178,200 0 5,963,400





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 1,513 1,426 0 87 0 0
Annual Time Burden (Hours) 30,941 29,890 0 1,051 0 0
Annual Cost Burden (Dollars) 6,178,200 5,963,400 0 214,800 0 0


Reginfo record details
  No