Information Collection

Lock-In Application

IC 254199 under ICR 202310-1212-005 · OMB 1212-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SFA Lock-In Applic Lock-In Application	Form and Instruction
SFA Lock-In Applic SFA Lock-In Application lock-in-application July 2023 revision.07.pdf	Form and Instruction

IC Title:

Lock-In Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 4262

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
Form and Instruction	SFA Lock-In Application	SFA Lock-In Application	lock-in-application July 2023 revision.07.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: PBGC â 19: Office of General Counsel Case Management System

FR Citation: 83 FR 6247

Number of Respondents: 23

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	23	23
Annual IC Time Burden (Hours)	23	23
Annual IC Cost Burden (Dollars)	18,400	18,400

Documents for IC

table that charts IC Documents
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.