View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1530-0069
ICR Reference No:
202105-1212-001CF
Status:
Active
Previous ICR Reference No:
Agency/Subagency:
PBGC
Agency Tracking No:
Title:
ACH Vendor/Miscellaneous Payment Enrollment Form
Type of Information Collection:
RCF New
Common Form ICR:
Type of Review Request:
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/25/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/15/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2022
Responses
68
0
0
Time Burden (Hours)
17
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Authorizing Statute(s):
US Code:
29 USC 1361
Name of Law: Amounts payable by corporation
PL:
Pub.L. 117 - 2 9704
Name of Law: Special Financial Assistance Program for Financially Troubled Multiemployer Plans
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
ACH Vendor/Miscellaneous Pyment Enrollment Form
SF 3881
ACH Vendor/Miscellaneous Payment Enrollment Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
68
0
0
68
0
0
Annual Time Burden (Hours)
17
0
0
17
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Under section 9704 of PL 117-2, enacted on March 11, 2021, which added section 4262 of ERISA, PBGC is required to administer the special financial assistance program. In addition, under section 4261 of ERISA, PBGC is required to administer the multiemployer financial assistance program. Under both of these programs, PBGC will use form SF 3881 to obtain information necessary to effectuate an electronic of funds to multiemployer plans.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
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.
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.
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Melissa Rifkin 202 326-4400 rifkin.melissa@pbgc.gov
Common Form ICR:
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
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