View RCF - OIRA Conclusion

Title: ACH Vendor/Miscellaneous Payment Enrollment Form

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 08/08/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/08/2022
Terms of Clearance:

Description of Agency Usage: Multiemployer plans that are eligible for special financial assistance under section 4262 of ERISA or multiemployer insurance program financial assistance under section 4261 of ERISA will complete this form to provide PBGC with the information necessary for electronic transfer of funds.

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

Annual Cost to Federal Government: $0
Agency Contact: Melissa Rifkin 202 326-4400 rifkin.melissa@pbgc.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
ACH Vendor/Miscellaneous Pyment Enrollment Form		68	17	0	Form and Instruction	SF 3881	ACH Vendor/Miscellaneous Payment Enrollment Form

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	68	68
Annual Time Burden (Hours)	17	17
Annual Cost Burden (Dollars)	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: