Information Collection

Mergers and Transfer Between Multiemployer Plans (29 CFR Part 4231)

IC 13536 under ICR 202407-1212-004 · OMB 1212-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1212-0022 Supporting Statement 2024.03.docx 1212-0022 Supporting Statement 2024.03	IC Document
1212-0022 Supporting Statement 2024.03.docx 1212-0022 Supporting Statement 2024.03	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4231

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

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	16	1	15
Annual IC Time Burden (Hours)	25	1	24
Annual IC Cost Burden (Dollars)	110,400	-10,000	120,400

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1212-0022 Supporting Statement 2024.03	1212-0022 Supporting Statement 2024.03.docx	07/25/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.