Information Collection Request

Special Financial Assistance by PBGC

ICR 202205-1212-008 · OMB 1212-0074 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SFA Lock-In Applic Lock-In Application Form and Instruction New Repair queued
Form SFA Filing Instruc Notice of reinstatement Form and Instruction Modified Repair queued
Form SFA 300 Annual Statement of Compliance Form and Instruction Modified Repair queued
Form Model Plan Amendme Application for Special Financial Assistance Form and Instruction Modified Repair queued
Special Financial Assistance ICR Final Rule Supporting Statement.08.docx Supporting Statement A Uploaded 2022-07-08 Repair queued
SFA FR Emergency Memo.4.docx Supplementary Document Uploaded 2022-07-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254199 Lock-In Application Form and Instruction New
247988 Requests for determination Modified
247977 Notice of reinstatement Form and Instruction Modified
247976 Annual Statement of Compliance Form and Instruction Modified
247975 Application for Special Financial Assistance Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved 01/31/2025
219 122
1,043 723
2,648,134 1,946,600





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Annual Statement of Compliance SFA 300 Annual Statement of Compliance
Application for Special Financial Assistance SFA 202, SFA 201, SFA 203, SFA 204-A, SFA 204-B, SFA 205-A, SFA 205-B, SFA 206-A, SFA 207, SFA 208, SFA 209, SFA 100-Supplemented , SFA Filing Instructions, General Application, SFA Filing Instructions, Addendum A, SFA Filing Instructions, Addendum C, SFA Filing Instructions, Addendum D, PBGC E-filing Portal, Model Plan Amendment, Compliance, Model Plan Amendment, Reinstatement, Model Certification , SFA 100, SFA 206-B Model Plan Amendment, Compliance ,   Model Plan Amendment, Reinstatement ,   Model Certification ,   SFA Template 1 ,   SFA Template 2 ,   SFA Template 3 ,   SFA Template 4A ,   SFA Template 4B ,   SFA Template 5A ,   SFA Template 5B ,   SFA Template 6A ,   SFA Template 6B ,   SFA Template 7 ,   SFA Template 8 ,   SFA Template 9 ,   SFA Template Checklist ,   SFA Template Checklist, Supplemented Application ,   SFA Filing Instructions, General Application ,   SFA Filing Instructions, Addendum A ,   SFA Filing Instructions, Addendum C ,   SFA Filing Instructions, Addendum D ,   PBGC E-filing Portal
Lock-In Application SFA Lock-In Application SFA Lock-In Application
Notice of reinstatement SFA Filing Instructions, Addendum B SFA Filing Instructions, Addendum B
Requests for determination

table that charts list of burden
  Total Request 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 219 122 0 97 0 0
Annual Time Burden (Hours) 1,043 723 0 320 0 0
Annual Cost Burden (Dollars) 2,648,134 1,946,600 0 701,534 0 0


Reginfo record details
  No