Information Collection

Liability for Termination of Single-Employer Plans

IC 13525 under ICR 202606-1212-001 · OMB 1212-0017.

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Information Collection (IC) Details

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IC Title:	Liability for Termination of Single-Employer Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4068 29 CFR 4062

Information Collection 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: 19	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	19	-2	21
Annual IC Time Burden (Hours)	228	-24	252
Annual IC Cost Burden (Dollars)	102,600	-10,800	113,400

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