Information Collection Request

Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)

ICR 202303-1212-005 · OMB 1212-0034 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
multi0034ss - 4-2023.docx Supporting Statement A Uploaded 2023-03-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13558 Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 06/30/2023
3 0 806
15 0 45
49,500 0 148,500





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)

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 3 806 0 -803 0 0
Annual Time Burden (Hours) 15 45 0 -30 0 0
Annual Cost Burden (Dollars) 49,500 148,500 0 -99,000 0 0


Reginfo record details
  No