Information Collection

Annual Funding Notice for Defined Benefit Pension Plans

IC 38427 under ICR 202306-1210-002 · OMB 1210-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0126 can be found here:

Documents and Forms

Document Name Document Type
APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx Other-Model Notice
APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx Other-Model Notice

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Funding Notice for Defined Benefit Pension Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2520.104b-1(c)(2)(ii)(B) 29 CFR 2520.104b-1(c)(2)(ii)(C) 29 CFR 2520.104b-1(c)(2)(ii)(A)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Model Notice			APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx		Yes	No	Printable Only
Other-Model Notice			APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24,846	Number of Respondents for Small Entity: 21,616

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 94 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	34,845,430	-3,520,695	38,366,125
Annual IC Time Burden (Hours)	166,067	-31,269	197,336
Annual IC Cost Burden (Dollars)	2,009,083	-733,435	2,742,518

Documents for IC

Title	Document	Date Uploaded
No associated records found

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