View Information Collection Request (ICR) Package

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: 1212-0055	ICR Reference No: 202405-1212-002
Status: Historical Active	Previous ICR Reference No: 202212-1212-002
Agency/Subagency: PBGC	Agency Tracking No:
Title: Locating and Paying Participants
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/25/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/21/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	36 Months From Approved	08/31/2024
Responses	136,081	0	170,506
Time Burden (Hours)	101,703	0	58,376
Cost Burden (Dollars)	60,742	0	58,682

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	136,081	170,506	-34,425
Annual Time Burden (Hours)	101,703	58,376	43,327
Annual Cost Burden (Dollars)	60,742	58,682	2,060

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: No

Burden Reduction Due to:

Short Statement: Changes in the estimated total average annual hour burden (from 58,376 to 101,703 hours) and cost burden (from $58,682 to $60,742) of this collection of information is attributable to higher hour burden estimates, based on information gathered from filers, higher average notary fees, and lower estimates of expected respondents (from 170,506 to 136,081), particularly from eliminating Form 719, “Election to Withhold Federal Income Tax from Periodic Payments.”

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. Yes

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. Yes

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: Gregory Katz 202 326-3829 katz.gregory@pbgc.gov