View Information Collection (IC)

View Information Collection (IC)

IC Title:	Termination of Single Employer Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4041 29 CFR 4050

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Distress termination instructions Final 2012.docx		Yes	No	Printable Only
Instruction			Standard termination instructions Final 2012 revised.docx		Yes	No	Printable 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: 1,379	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

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	1,379	0	0	0	0	1,379
Annual IC Time Burden (Hours)	2,161	0	0	0	0	2,161
Annual IC Cost Burden (Dollars)	3,098,441	0	0	0	0	3,098,441

Documents for IC

Title	Document	Date Uploaded
Justification no material changes	Justification no material changes revised 12-2012.doc	12/11/2012

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