Information Collection

Extension of Special Withdrawal Liability Rules (29 CFR Part 4203)

IC 13540 under ICR 201706-1212-002 · OMB 1212-0023.

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Information Collection (IC) Details

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IC Title:	Extension of Special Withdrawal Liability Rules (29 CFR Part 4203)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4203

Information Collection Instruments:

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

Line of Business: Income Security

Subfunction: General Retirement and Disability

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	2	1	1
Annual IC Cost Burden (Dollars)	5,000	3,683	1,317

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