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View ICR - OIRA Conclusion

OMB Control No: 1212-0054	ICR Reference No: 202603-1212-001
Status: Active	Previous ICR Reference No: 202502-1212-002
Agency/Subagency: PBGC	Agency Tracking No:
Title: Qualified Domestic Relations Orders submitted to PBGC
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/19/2026
	Date Received in OIRA: 03/09/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2028	01/31/2028	01/31/2028
Responses	253	0	253
Time Burden (Hours)	190	0	190
Cost Burden (Dollars)	177,100	0	177,100

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	253	253
Annual Time Burden (Hours)	190	190
Annual Cost Burden (Dollars)	177,100	177,100

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: The burden decrease is attributable to a decrease in the number of domestic relations orders received by PBGC in recent years. PBGC expects to receive approximately 253 responses annually based on the number of orders received over the last three years (FY 2021-FY 2023). PBGC had anticipated receiving 428 responses.

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: Joseph Krettek 202 367-4105 krettek.joseph@pbgc.gov

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