Information Collection

Notices Following a Substantial Cessation of Operations

IC 237358 under ICR 202506-1212-005 · OMB 1212-0073.

Documents and Forms

Document Name Document Type
Form PBGC Form 4062(e)- Notice of Section 4062(e) Event Notices Following a Substantial Cessation of Operations Form
Form PBGC Form 4062(e)- Notice of Additional Contributions under ERISA 4062(e)(4) Notices Following a Substantial Cessation of Operations Form
Form PBGC Form 4062(e)- Notice of Failure to Make Additional Contributions under ERISA 4062(e)(4) Notices Following a Substantial Cessation of Operations Form
Form PBGC Form 4062(e)- Notice of Election under ERISA 4062(e)(4) Notices Following a Substantial Cessation of Operations Form
form-4062-e-instructions 2022.pdf www.pbgc.gov/sites/default/files/form-4062-e-instructions.pdf Instruction
form-4062-e-instructions 2022.pdf www.pbgc.gov/sites/default/files/form-4062-e-instructions.pdf Instruction
PBGC Form 4062(e)- Notice of Section 4062(e) Event notice-section-4062e4-event-form 2022.pdf www.pbgc.gov/sites/default/files/notice-section-4062e4-event-form.pdf Form
PBGC Form 4062(e)- Notice of Section 4062(e) Event notice-section-4062e4-event-form 2022.pdf www.pbgc.gov/sites/default/files/notice-section-4062e4-event-form.pdf Form
PBGC Form 4062(e)- Notice of Additional Contributions under ERISA 4062(e)(4 notice-addt-contrib-erisa-4062e4-form 2022.pdf www.pbgc.gov/sites/default/files/notice-addt-contrib-erisa-4062e4-form.pdf Form
PBGC Form 4062(e)- Notice of Additional Contributions under ERISA 4062(e)(4 notice-addt-contrib-erisa-4062e4-form 2022.pdf www.pbgc.gov/sites/default/files/notice-addt-contrib-erisa-4062e4-form.pdf Form
PBGC Form 4062(e)- Notice of Failure to Make Additional Contributions under notice-fail-addt-contrib-erisa-4062e4-form 2022.pdf www.pbgc.gov/sites/default/files/notice-fail-addt-contrib-erisa-4062e4-form.pdf Form
PBGC Form 4062(e)- Notice of Failure to Make Additional Contributions under notice-fail-addt-contrib-erisa-4062e4-form 2022.pdf www.pbgc.gov/sites/default/files/notice-fail-addt-contrib-erisa-4062e4-form.pdf Form
PBGC Form 4062(e)- Notice of Election under ERISA 4062(e)(4) PBGC Form 4062(e)-02.02.pdf Form
PBGC Form 4062(e)- Notice of Election under ERISA 4062(e)(4) PBGC Form 4062(e)-02.02.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notices Following a Substantial Cessation of Operations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			form-4062-e-instructions 2022.pdf	https://www.pbgc.gov/sites/default/files/form-4062-e-instructions.pdf	Yes	Yes	Fillable Fileable
Form	PBGC Form 4062(e)-01	Notice of Section 4062(e) Event	notice-section-4062e4-event-form 2022.pdf	https://www.pbgc.gov/sites/default/files/notice-section-4062e4-event-form.pdf	Yes	Yes	Fillable Fileable
Form	PBGC Form 4062(e)-03	Notice of Additional Contributions under ERISA 4062(e)(4)	notice-addt-contrib-erisa-4062e4-form 2022.pdf	https://www.pbgc.gov/sites/default/files/notice-addt-contrib-erisa-4062e4-form.pdf	Yes	Yes	Fillable Fileable
Form	PBGC Form 4062(e)-04	Notice of Failure to Make Additional Contributions under ERISA 4062(e)(4)	notice-fail-addt-contrib-erisa-4062e4-form 2022.pdf	https://www.pbgc.gov/sites/default/files/notice-fail-addt-contrib-erisa-4062e4-form.pdf	Yes	Yes	Fillable Fileable
Form	PBGC Form 4062(e)-02	Notice of Election under ERISA 4062(e)(4)	PBGC Form 4062(e)-02.02.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3	-2	5
Annual IC Time Burden (Hours)	24	-15	39
Annual IC Cost Burden (Dollars)	24,000	-15,415	39,415

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].