Lock-In Application

Special Financial Assistance by PBGC

OMB: 1212-0074

IC ID: 254199

Information Collection (IC) Details

View Information Collection (IC)

Lock-In Application
 
No Unchanged
 
Voluntary
 
29 CFR 4262

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SFA Lock-In Application SFA Lock-In Application SFA Lock-In Application, OMB Submission.docx https://www.pbgc.gov/sites/default/files/sfa/lock-in-application.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

PBGC – 19: Office of General Counsel Case Management System  83 FR 6247

23 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 23 0 0 0 0 23
Annual IC Time Burden (Hours) 23 0 0 0 0 23
Annual IC Cost Burden (Dollars) 18,400 0 0 0 0 18,400

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