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Qualified Domestic Relations Orders submitted to PBGC
Qualified Domestic Relations Orders submitted to PBGC
OMB: 1212-0054
IC ID: 43802
OMB.report
PBGC
OMB 1212-0054
ICR 202411-1212-001
IC 43802
( )
Documents and Forms
Document Name
Document Type
QDRO Spanish Booklet Updated 11-2024.docx
Instruction
QDRO 2024 v 20241118 .docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Qualified Domestic Relations Orders submitted to PBGC
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
QDRO Spanish Booklet Updated 11-2024.docx
Yes
Yes
Paper Only
Instruction
QDRO 2024 v 20241118 .docx
Yes
Yes
Paper Only
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:
253
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
253
0
-175
0
0
428
Annual IC Time Burden (Hours)
190
0
-131
0
0
321
Annual IC Cost Burden (Dollars)
177,100
0
-122,500
0
0
299,600
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.