Notice of Failure to Make Required Contributions

OMB Control No: 1212-0041	ICR Reference No: 201302-1212-002
Status: Historical Inactive	Previous ICR Reference No: 201204-1212-003
Agency/Subagency: PBGC	Agency Tracking No:
Title: Notice of Failure to Make Required Contributions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 09/26/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/03/2013
Terms of Clearance: Comment Filed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	06/30/2015
Responses	111	0	111
Time Burden (Hours)	666	0	666
Cost Burden (Dollars)	102,146	0	102,146

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Abstract: To implement a statutory requirement, PBGC requires contributing sponsors and parents of parent-subsidiary controlled groups of which a contributing sponsor is a member to submit Form 200 to notify PBGC of failures to make required payments. PBGC uses this information to make decisions regarding enforcement of statutory liens.

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Authorizing Statute(s): US Code: 29 USC 1083(k) Name of Law: ERISA

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1212-AB06	Proposed rulemaking	78 FR 20039	04/03/2013

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 20039	04/03/2013
Did the Agency receive public comments on this ICR? No

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

IC Title Form No. Form Name Notice of Failure to Make Required Contributions 200 Notice of Failure to Make Required Contributions

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The changes in burden and cost are the result of a decrease in the number of expected filings based upon PBGC's experience in the last three years, and a revised estimate (based on a small survey of practitioners) in the hourly contracting rate from $350 for all plans to $320 for large plans and $130 for small plans. In addition, in light of the small number of filings, PBGC is no longer assuming that when there is a subsequent payment failure and a subsequent filing due from the same filer, the average response time for the subsequent filing would be less.

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Annual Cost to Federal Government: $16,050

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Daniel Liebman 202 326-4000 ext. 6510

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Common Form ICR:  No

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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: 04/03/2013

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