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Notice of Failure to Make Required Contributions
Notice of Failure to Make Required Contributions
OMB: 1212-0041
IC ID: 13574
OMB.report
PBGC
OMB 1212-0041
ICR 202404-1212-002
IC 13574
( )
Documents and Forms
Document Name
Document Type
Form Form 200
Notice of Failure to Make Required Contributions
Form
2024 Form 200 Instructions.pdf
Instruction
2024 Form 200 Instructions.pdf
Instruction
eFiling Portal User Guide_Reportable Events.pdf
Other-Screenshots
eFiling Portal User Guide_Reportable Events.pdf
Other-Screenshots
Form 200 Notice of Failure to Make Required Contributions
2024 Form 200.pdf
Form
Form 200 Notice of Failure to Make Required Contributions
2024 Form 200.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice of Failure to Make Required Contributions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4043
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
Form 200
Notice of Failure to Make Required Contributions
2024 Form 200.pdf
Yes
Yes
Fillable Fileable Signable
Instruction
2024 Form 200 Instructions.pdf
Yes
Yes
Fillable Fileable Signable
Other-Screenshots
eFiling Portal User Guide_Reportable Events.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
-28
0
0
88
Annual IC Time Burden (Hours)
60
0
-28
0
0
88
Annual IC Cost Burden (Dollars)
43,500
0
-20,300
0
0
63,800
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.