Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281) Modified 13850 240 370400 Form Form 1 Notice of Insolvency Benefit Level
Form Form 2 Notice of Insolvency
Form Form 3 Application for Financial Assistance - Initial
Form Form 4 Application for Financial Assistance - Recurring
Form and Instruction Form 5 Combined Notice of Insolvency and Notice of Insolvency Benefit Level
Instruction
Total burden requested under this ICR: 13850 240 370400  
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