Election of Multiemployer Plan Status

OMB Control No: 1212-0062	ICR Reference No: 200706-1212-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: PBGC	Agency Tracking No:
Title: Election of Multiemployer Plan Status
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/18/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/18/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved
Responses	35	0	0
Time Burden (Hours)	88	0	0
Cost Burden (Dollars)	65,625	0	0

---

Abstract: Under 29 USC 1002(37)(G), as amended by section 1106 of the Pension Protection Act of 2006, Pub.L. 109-280, eligible single-employer plans may elect to be multiemployer plans pursuant to election procedures prescribed by PBGC. The procedures prescribe information PBGC needs to determine whether the eligibility requirements in 29 USC 1002(37)(G) have been met and whether a plan’s election should accordingly be approved. Information and representations made in submissions will be retained for audit purposes.

---

Authorizing Statute(s): US Code: 29 USC 1002(37)(G) Name of Law: ERISA

Citations for New Statutory Requirements: US Code: 29 USC 1002(37)(G) Name of Law: ERISA

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 18692	04/13/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 33260	06/15/2007
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Election of Multiemployer Plan Status

---

ICR Summary 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	35	0	35	0	0	0
Annual Time Burden (Hours)	88	0	88	0	0	0
Annual Cost Burden (Dollars)	65,625	0	65,625	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection. See supporting statement for details.

---

Annual Cost to Federal Government: $22,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Constance Markakis 202 326-4024 [email protected]

---

Common Form ICR:  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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 06/18/2007

---