View Information Collection (IC)

View Information Collection (IC)

IC Title:	Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4281

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 1	Notice of Insolvency Benefit Level	insolvencybenefitlevelnotice 9162015.docx		Yes	Yes	Fillable Fileable
Form	Form 2	Notice of Insolvency	insolvencynotice 9162015.docx		Yes	Yes	Fillable Fileable
Form	Form 3	Application for Financial Assistance Initial	applicationforfinancialassistance 9162015.docx		Yes	Yes	Fillable Fileable
Form	Form 4	Application for Financial Assistance Recurring	applicationfinancialassistancerecurring 9162015.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	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	164,501	0	0	0	0	164,501
Annual IC Time Burden (Hours)	60	0	0	59	0	1
Annual IC Cost Burden (Dollars)	309,020	0	-98,133	0	0	407,153

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.