View Information Collection (IC)

View Information Collection (IC)

IC Title:	Administrative Appeals (Individuals)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 4003 Subpart D

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PBGC Form 723	Request for Additional Time to File an Appeal of a PBGC Benefit Determination	e723 (2).doc		No		Paper Only
Form	PBGC Form 724	Appeal of a PBGC Benefit Determination	e724 (2).doc		No		Paper Only

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: 896	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	896	0	0	50	0	846
Annual IC Time Burden (Hours)	643	0	0	53	0	590
Annual IC Cost Burden (Dollars)	43,780	0	0	482	0	43,298

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.