Information Collection

Notice of Insolvency (29 CFR Part 4245)

IC 13554 under ICR 200109-1212-010 · OMB 1212-0033.

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Information Collection (IC) Details

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IC Title:	Notice of Insolvency (29 CFR Part 4245)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	838	-7,180	0	8,018
Annual IC Time Burden (Hours)	1	0	0	1
Annual IC Cost Burden (Dollars)	1,000	0	-9,000	10,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.