Information Collection

Pension Plan Tracing Intake Questionnaire

IC 271108 under ICR 202409-1212-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PBGC Form ADV-001 Pension Plan Tracing Intake Questionnaire	Form
PBGC Form ADV-001 Pension Plan Tracing Intake Questionnaire Advocate's Intake Questionnaire_9.13.2024.pdf	Form
PBGC Form ADV-001 Pension Plan Tracing Intake Questionnaire Advocate's Intake Questionnaire_9.13.2024.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Form	PBGC Form ADV-001	Pension Plan Tracing Intake Questionnaire	Advocate's Intake Questionnaire_9.13.2024.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: PBGC-6

FR Citation: 87 FR 79002

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

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.