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Federal forms, ICRs, and supporting documents

Information Collection

Survey of Multiemployer Pension Plan Withdrawal Liability Information

IC 232801 under ICR 202109-1212-009 · OMB 1212-0071.

Documents and Forms
Document Name
Document Type
Other-Survey Template
Other-Survey Template
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Survey of Multiemployer Pension Plan Withdrawal Liability Information
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Template Copy of Withdrawal Liability Survey Template 10-19-18.xlsx Yes Yes Fillable Printable

General Government Executive Functions

 

6 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6 0 -59 0 0 65
Annual IC Time Burden (Hours) 60 0 -590 0 0 650
Annual IC Cost Burden (Dollars) 24,000 0 -236,000 0 0 260,000

Title Document Date Uploaded
Withdrawal Liability Survey PRA Notice Withdrawal Liability Survey Paperwork Reduction Act Notice.docx 10/31/2018
Sample Cover Email for Withdrawal Liability Survey Sample cover email withdrawal liability survey.docx 10/31/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.