View Information Collection (IC)

View Information Collection (IC)

IC Title:	Survey of Multiemployer Pension Plan Withdrawal Liability Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Template			Copy of Withdrawal Liability Survey Template 10-19-18.xlsx		Yes	Yes	Fillable Printable

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: 65	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	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	65	0	65	0	0	0
Annual IC Time Burden (Hours)	650	0	650	0	0	0
Annual IC Cost Burden (Dollars)	260,000	0	260,000	0	0	0

Documents for IC

Title	Document	Date Uploaded
Withdrawal Liability Survey PRA Notice	Withdrawal Liability Survey Paperwork Reduction Act Notice.docx	10/31/2018
Sample Cover Email for Withdrawal Liability Survey	Sample cover email withdrawal liability survey.docx	10/31/2018

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