View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1212-0071	ICR Reference No: 201808-1212-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: PBGC	Agency Tracking No:
Title: Survey of Multiemployer Pension Plan Withdrawal Liability Information
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/02/2018
	Date Received in OIRA: 08/28/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved
Responses	65	0	0
Time Burden (Hours)	650	0	0
Cost Burden (Dollars)	260,000	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	65	65
Annual Time Burden (Hours)	650	650
Annual Cost Burden (Dollars)	260,000	260,000

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request. PBGC needs the withdrawal liability information to estimate with more precision its multiemployer program liabilities for purposes of its financial statements and current and projected financial assistance to plans.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Uncollected

Agency Contact: Hilary Duke 202 326-4000 ext. 3839 duke.hilary@pbgc.gov

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