Information Collection Request
Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)
ICR 202401-1212-004 · OMB 1212-0049 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0049 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified | Available |
| Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified | Repair queued |
 Justification Nonmaterial Change 4010 instructions.v1.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-18 | Available |
| Justification Nonmaterial Change 4010 instructions.v1.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-18 | Available |
| 4010 ICR Supporting Statement 2022.04.docx |
Supporting Statement A | Uploaded 2023-01-17 | Available |
| 4010 ICR Supporting Statement 2022.04.docx |
Supporting Statement A | Uploaded 2023-01-17 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13583 |  Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified | |
| 13583 | Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | PBGC |
| OMB Control No | 1212-0049 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202301-1212-001 |
| Date Submitted to OIRA | 2024-01-19 |
| Requested Expiration Date | 1969-12-31 |