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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR DETERMINATION UPON TERMINATION, NOTICE OF MERGER, CONSOLIDATION OR TRANSFER OF PLAN ASSETS OR LIABILITIES, NOTICE OF INTENT TO TERMINATE

ICR 198509-1212-001 · OMB 1212-0025 · Historical Active

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121684 APPLICATION FOR DETERMINATION UPON TERMINATION, NOTICE OF MERGER, CONSOLIDATION OR TRANSFER OF PLAN ASSETS OR LIABILITIES, NOTICE OF INTENT TO TERMINATE Form Migrated
ICR Details
1212-0025 198509-1212-001
Historical Active 198209-1212-001
PBGC
APPLICATION FOR DETERMINATION UPON TERMINATION, NOTICE OF MERGER, CONSOLIDATION OR TRANSFER OF PLAN ASSETS OR LIABILITIES, NOTICE OF INTENT TO TERMINATE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/11/1985
Retrieve Notice of Action (NOA) 09/30/1985
  Inventory as of this Action Requested Previously Approved
04/30/1988 04/30/1988
5,000 0 0
15,300 0 0
0 0 0
WHEN A PENSION PLAN COVERED UNDER TITLE IV OF ERISA TERMINATES, THE PLAN ADMINISTRATOR MUST FILE WITH THE PBGC A NOTICE OF TERMINATION THAT WILL ENABLE THE PBGC TO DETERMINE IF, AND TO WHAT EXTENT, THE PLAN REQUIRES PBGC GUARANTEES. FORM 5310 IS USED TO MAKE THE REQUIRED NOTIFICATION AND TO PROVIDE THE PBGC WITH THE NEEDED INFORMATION.
None
None
No
  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 5,000 0 0 0 5,000 0
Annual Time Burden (Hours) 15,300 0 0 0 15,300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/30/1985