Required Paperwork Reduction Act Notice
The PBGC needs this information so that it can determine your
entitlement, if any, to a pension benefit under a private defined
benefit pension plan that has terminated. A defined benefit plan is
a traditional pension plan that promises a specified monthly benefit
at retirement. The PBGC does not pay benefits under 401(k) or other
defined contribution plans, ongoing defined benefit plans,
government plans, and certain other plans.
Your response is voluntary. However, the information is required in
order for you to receive such a pension benefit. The PBGC will use
this information to determine the form and amount of any such
pension benefit and to make appropriate payments. Under the
Paperwork Reduction Act, an agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. This
collection of information has been approved by the Office of
Management and Budget (OMB) under control number 1212-0055 (expires
December XX, 20XX). The information provided to the PBGC may be
disclosable under the Freedom of Information Act and the Privacy
Act.
The PBGC estimates that the average burden of responding to a
request for identifying information as part of an initial contact
with the PBGC under the PBGC’s Pension Search program is about
15 minutes, and that the average burden of complying with the
information collection request in the PBGC’s application
package is about one hour. Comments concerning the accuracy of this
estimate or suggestions for further reducing this burden may be sent
to Pension Benefit Guaranty Corporation, Legislative and Regulatory
Department, 1200 K Street, NW, Washington, DC 20005-4026.
File Type | application/msword |
Author | Jo Amato Burns |
Last Modified By | Burns Jo Amato |
File Modified | 2012-09-26 |
File Created | 2012-09-26 |