View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1212-0034	ICR Reference No: 202303-1212-005
Status: Active	Previous ICR Reference No: 202004-1212-007
Agency/Subagency: PBGC	Agency Tracking No:
Title: Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/03/2023
	Date Received in OIRA: 03/24/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved	06/30/2023
Responses	3	0	806
Time Burden (Hours)	15	0	45
Cost Burden (Dollars)	49,500	0	148,500

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3	806	-803
Annual Time Burden (Hours)	15	45	-30
Annual Cost Burden (Dollars)	49,500	148,500	-99,000

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change in burden is due to a reduction for the next 3 years in the estimated number of plans terminating by mass withdrawal and reduction in the estimated number of plans in which substantially all employers withdraw,

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

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

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