Information Collection

Disclosure of Information in Distress and PBGC-inititated Termination Information

IC 182656 under ICR 201711-1212-002 · OMB 1212-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0065 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Disclosure of Information in Distress and PBGC-inititated Termination Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1342 29 CFR 1341

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: 17	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	17	15	2
Annual IC Time Burden (Hours)	340	310	30
Annual IC Cost Burden (Dollars)	0	-600	600

Documents for IC

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