Information Collection Request

Special Financial Assistance by PBGC

ICR 202407-1212-001 · OMB 1212-0074 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Lock-in Applicatio Lock-In Application Form and Instruction Unchanged Available
Form Lock-in Applicatio Lock-In Application Form and Instruction Unchanged Repair queued
Form SFA Filing Instruc Notice of reinstatement Form and Instruction Unchanged Available
Form SFA Filing Instruc Notice of reinstatement Form and Instruction Unchanged Repair queued
Form SFA 300 Annual Statement of Compliance Form and Instruction Unchanged Available
Form SFA 300 Annual Statement of Compliance Form and Instruction Unchanged Repair queued
Form SFA 201 Application for Special Financial Assistance Form and Instruction Modified Available
Form SFA 201 Application for Special Financial Assistance Form and Instruction Modified Missing upstream
Justification Nonmaterial Change - Checklist.02.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-02 Available
Justification Nonmaterial Change - Checklist.02.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-07-02 Repair queued
sfa-assumptions-guidance.pdf Supplementary Document Uploaded 2024-03-27 Available
sfa-assumptions-guidance.pdf Supplementary Document Uploaded 2024-03-27 Repair queued
Special Financial Assistance ICR (May 2024 Renewal) Supporting Statement.03.docx Supporting Statement A Uploaded 2024-03-26 Available
Special Financial Assistance ICR (May 2024 Renewal) Supporting Statement.03.docx Supporting Statement A Uploaded 2024-03-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254199 Lock-In Application Form and Instruction Unchanged
254199 Lock-In Application Form and Instruction Unchanged
247988 Requests for determination Unchanged
247977 Notice of reinstatement Form and Instruction Unchanged
247977 Notice of reinstatement Form and Instruction Unchanged
247976 Annual Statement of Compliance Form and Instruction Unchanged
247976 Annual Statement of Compliance Form and Instruction Unchanged
247975 Application for Special Financial Assistance Form and Instruction Modified
247975 Application for Special Financial Assistance Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2027 05/31/2027 05/31/2027
207 0 207
864 0 864
1,931,800 0 1,931,800





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Annual Statement of Compliance SFA 300 Annual Statement of Compliance
Application for Special Financial Assistance SFA 100, SFA 201, SFA 202, SFA 203, SFA 204-A, SFA 204-B, SFA 206-B, SFA 205-A, SFA 205-B, SFA 209, SFA 208, SFA 207, SFA 206-A, SFA Filing Instructions, Addendum A, Model Plan Amendment Compliance, SFA Filing Instructions, Addendum C, SFA Filing Instructions, Addendum D, SFA Application Amendment Cover Letter, Model Certification, SFA 100-Supplemented, Model Plan Amendment, Reinstatement, SFA Template 10, PBGC E-filing Portal SFA Template 1 ,   SFA Template 2 ,   SFA Template 3 ,   SFA Template 4A ,   SFA Template 4B ,   SFA Template 5A ,   SFA Template 5B ,   SFA Template 6B ,   SFA Template 7 ,   SFA Template 8 ,   SFA Template 6A ,   SFA Template 9 ,   SFA Filing Instructions, Addendum A ,   SFA Filing Instructions, Addendum C ,   SFA Filing Instructions, Addendum D ,   SFA Template Checklist, Supplemented Application ,   PBGC E-filing Portal ,   SFA Application Amendment Cover Letter ,   Model Plan Amendment Compliance ,   Model Plan Amendment, Reinstatement ,   Model Certification ,   SFA Template 10 ,   SFA Application Checklist
Lock-In Application Lock-in Application Lock-in Application
Notice of reinstatement SFA Filing Instructions, Addendum B SFA Filing Instructions, Addendum B
Requests for determination

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 207 207 0 0 0 0
Annual Time Burden (Hours) 864 864 0 0 0 0
Annual Cost Burden (Dollars) 1,931,800 1,931,800 0 0 0 0


Reginfo record details
  No