Information Collection

IA32014 PBGC.gov mobile draft 30NOV2020

IC 254003 under ICR 202109-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form IA32014 PBGC.gov m IA32014 PBGC.gov mobile draft 30NOV2020 IA32014 PBGC.gov mobile draft 30NOV2020	Form and Instruction
IA32014 PBGC.gov m IA32014 PBGC.gov mobile draft 30NOV2020 IA32014 PBGC.gov mobile draft 30NOV2020.xlsx	Form and Instruction
1090-0008 Generic Clearance Request Form PBGC.gov mobile signed.pdf 1090-0008 Generic Clearance Request Form PBGC.gov mobile signed	IC Document
1090-0008 Survey Mapping Document PBGC mobile.docx 1090-0008 Survey Mapping Document PBGC mobile	IC Document

IC Title:

IA32014 PBGC.gov mobile draft 30NOV2020

Agency IC Tracking Number:

IA32014 PBGC.gov mobile draft 30NOV2020

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	IA32014 PBGC.gov mobile draft 30NOV2020				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	300	300
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form PBGC.gov mobile signed		06/02/2022
1090-0008 Survey Mapping Document PBGC mobile		06/02/2022

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

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