Abandoned Individual Account Plan Termination

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form A Abandoned Individual Account Plan Termination	Form	Unchanged	Available
Justification No Material Nonsubstantive Change 1210-0127 12-23-2020.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-12-23	Repair queued
Abandoned Plans SS 1810-25-2018.docx	Supporting Statement A	Uploaded 2018-10-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13509	Abandoned Individual Account Plan Termination	Form	Unchanged

ICR Details

OMB Control No: 1210-0127	ICR Reference No: 202012-1210-008
Status: Active	Previous ICR Reference No: 201810-1210-003
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Abandoned Individual Account Plan Termination
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/30/2020
	Date Received in OIRA: 12/23/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	04/30/2022	04/30/2022
Responses	1,014,463	0	1,014,463
Time Burden (Hours)	37,680	0	37,680
Cost Burden (Dollars)	562,225	0	562,225

---

Abstract: This collection contains disclosure, recordkeeping, and reporting requirements associated with EBSA's abandoned plan program, which allows plan custodians to wind up plans that have been abandoned due to significant business events, such as bankruptcies, mergers, acquisitions, and other similar transactions affecting the status of an employer.

---

Authorizing Statute(s): US Code: 29 USC 1104 Name of Law: Employee Retirement Income Security Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 15635	04/11/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 7133	03/01/2019
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Abandoned Individual Account Plan Termination	A, B, C, D, 404a-3	Notice of Intent to Terminate ,   Notification of Plan Abandonment and Intent to Serve as Qualified Termination Administrator ,   Notice of Plan Termination ,   Final Notice ,   Notice of Plan Termination

---

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	1,014,463	1,014,463	0	0	0	0
Annual Time Burden (Hours)	37,680	37,680	0	0	0	0
Annual Cost Burden (Dollars)	562,225	562,225	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The Department has revised the ICR to account for increases in wage rates, decrease in the usage of the Abandoned Plans Program, as well as a decrease in the number of terminating plans.

---

Annual Cost to Federal Government: $25,215

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? No

---

Common Form ICR:  No

---

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: 12/23/2020

---