Information Collection

Notice of Insolvency (29 CFR Part 4245)

IC 13555 under ICR 201503-1212-003 · 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: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4245

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Executive Functions

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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,598	0	2,598
Annual IC Time Burden (Hours)	1	0	1
Annual IC Cost Burden (Dollars)	1,550	-238	1,788

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