Information Collection

Notice of Failure to Make Required Contributions

IC 13574 under ICR 202404-1212-002 · OMB 1212-0041.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	60	-28	88
Annual IC Time Burden (Hours)	60	-28	88
Annual IC Cost Burden (Dollars)	43,500	-20,300	63,800

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.