Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1212-0057	ICR Reference No: 202205-1212-005
Status: Historical Active	Previous ICR Reference No: 202103-1212-001
Agency/Subagency: PBGC	Agency Tracking No:
Title: Annual Information Return/Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/21/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/23/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	36 Months From Approved	02/28/2023
Responses	25,000	0	24,600
Time Burden (Hours)	17,743	0	1,233
Cost Burden (Dollars)	0	0	1,647,087

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	25,000	24,600	400
Annual Time Burden (Hours)	17,743	1,233	16,510
Annual Cost Burden (Dollars)	0	1,647,087	-1,647,087

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: PBGC estimates an increase of 16,501 hours in the hour burden from 1,242 to 17,743. PBGC estimates that the increase is due to the Agencies incorporation of OMB’s guidance that the burden incurred by service providers should be reported as an hour burden in item 12 of the Supporting Statement instead of as a cost burden in item 13 of the Supporting Statement. Therefore, PBGC is no longer including those service provider hours as cost burden in item 13 of the Supporting Statement.

Annual Cost to Federal Government: $967,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Karen Levin 202 326-4400 ext. 3559 levin.karen@pbgc.gov