View Information Collection Request (ICR) Package

View ICR - Agency Submission

OMB Control No:	ICR Reference No: 202606-1212-007
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: PBGC	Agency Tracking No:
Title: Direct Express Enrollment Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/25/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	4,667	0
Time Burden (Hours)	778	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	4,667	4,667
Annual Time Burden (Hours)	778	778
Annual Cost Burden (Dollars)	0	0

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: To comply with Executive Order 14247, PBGC will transition its recipients receiving paper checks to receiving their benefits electronically. These recipients can do so by providing their bank or credit union information or through using a Direct Express card.

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

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.