View Information Collection (IC)

View Information Collection (IC)

Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)
 
No Modified
 
Mandatory
 
29 CFR 4281

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 NOIBL.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 2 Notice of Insolvency NOI.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 3 Application for Financial Assistance - Initial Application for Initial FA.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 4 Application for Financial Assistance - Recurring Application for Recurring FA.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable

General Government Executive Functions

 

55 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested 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 167,547 0 0 3,046 0 164,501
Annual IC Time Burden (Hours) 1,300 0 0 1,240 0 60
Annual IC Cost Burden (Dollars) 615,400 0 0 306,380 0 309,020

Title Document Date Uploaded
PRA Notice E-Filing Portal - Paperwork Reduction Act Notice 9-5.docx 09/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.