Information Collection Request

Termination of Single Employer Plans

ICR 202508-1212-002 · OMB unassigned · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 600, 601, and 602 Termination of Single Employer Plans Form Modified Available
4041 Supporting Statement 2025.07.docx Supporting Statement A Uploaded 2025-08-21 Available
Justification Nonmaterial Change Distress Termination v.02.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-09-25 Available
Justification Nonmaterial Change Standard Termination.05.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-10-20 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
13567 Termination of Single Employer Plans Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved 03/31/2026
1,870 0 1,654
46,860 0 41,730
9,558,240 0 8,509,747





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 1,870 1,654 0 216 0 0
Annual Time Burden (Hours) 46,860 41,730 0 5,130 0 0
Annual Cost Burden (Dollars) 9,558,240 8,509,747 0 1,048,493 0 0


Reginfo record details
  No