Information Collection

PBGC Premium Filer Satisfaction Survey

IC 263484 under ICR 202308-1212-001 · OMB 1212-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PBGC Premium Filer Questionnaire 2024 DRAFT 06SEP2023 Clean.docx	Other-Phone Survey
Supporting Statement Premium Filer Survey 2023.9.docx Supporting Statement	IC Document

IC Title:

Agency IC Tracking Number:

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
Other-Phone Survey			PBGC Premium Filer Questionnaire 2024 DRAFT 06SEP2023 Clean.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	Supporting Statement Premium Filer Survey 2023.9.docx	11/17/2023

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