Liability for Termination of Single-Employer Plans

ICR 201705-1212-001

OMB: 1212-0017

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2017-05-22
IC Document Collections
IC ID
Document
Title
Status
13525
Modified
ICR Details
1212-0017 201705-1212-001
Historical Active 201403-1212-003
PBGC
Liability for Termination of Single-Employer Plans
Extension without change of a currently approved collection   No
Regular
Approved without change 08/02/2017
Retrieve Notice of Action (NOA) 05/31/2017
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 08/31/2017
30 0 30
360 0 360
133,200 0 126,000

A contributing sponsor of a terminating single-employer plan or member of its controlled group ("employer") that believes ERISA 4062(b) liabiity exceeds 30% of the employer's net worth is required to so notify PBGC and submit net worth information; the amount of employer liability subject to the statutory lien and the payment terms are affected by whether and to what extent such liability exceeds 30% of the employer's net worth.

US Code: 29 USC 1362 Name of Law: ERISA
   US Code: 29 USC 1368 Name of Law: ERISA
  
None

Not associated with rulemaking

  82 FR 15724 03/30/2017
82 FR 25017 05/31/2017
No

1
IC Title Form No. Form Name
Liability for Termination of Single-Employer Plans

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 30 0 0 0 0
Annual Time Burden (Hours) 360 360 0 0 0 0
Annual Cost Burden (Dollars) 133,200 126,000 0 0 7,200 0
No
No

$19,680
No
No
No
No
No
Uncollected
Jo Amato Burns 202-326-4223 ext. 3072 burns.joamato@pbgc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/31/2017


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