Administrative Appeals

ICR 202206-1212-003

OMB: 1212-0061

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2022-06-08
IC Document Collections
IC ID
Document
Title
Status
46312
Removed
46311 Modified
ICR Details
1212-0061 202206-1212-003
Received in OIRA 201905-1212-010
PBGC
Administrative Appeals
Revision of a currently approved collection   No
Regular 06/08/2022
  Requested Previously Approved
36 Months From Approved 07/31/2022
375 600
293 212
37,400 33,440

PBGC’s regulation on Rules for Administrative Review of Agency Decisions (29 CFR part 4003) prescribes rules governing the issuance of initial determinations by PBGC and the procedures for requesting and obtaining administrative review of initial determinations. Certain types of initial determinations are subject to administrative appeals, which are covered in subpart D of the regulation. Subpart D prescribes rules on who may file appeals, when and where to file appeals, contents of appeals, and other matters relating to appeals. Under § 4003.54, an appeal must: (1) be in writing; (2) be clearly designated as an appeal; (3) specifically explain why PBGC’s determination is wrong and the result the appellant is seeking; (4) describe the relevant information the appellant believes is known by PBGC, and summarize any other information the appellant believes is relevant; (5) state whether the appellant desires to appear in person or through a representative before the Appeals Board; and (6) state whether the appellant desires to present witnesses to testify before the Appeals Board, and if so, state why the presence of witnesses will further the decision-making process. Under the regulation, where the appellant believes that another person may be aggrieved if PBGC grants the relief sought, the appeal must include the name(s) and address(es) (if known) of such other person(s).

US Code: 29 USC 1303 Name of Law: ERISA
  
None

Not associated with rulemaking

  87 FR 18402 03/30/2022
87 FR 34723 06/07/2022
No

  Total Request 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 375 600 0 -3 -222 0
Annual Time Burden (Hours) 293 212 0 -1 82 0
Annual Cost Burden (Dollars) 37,400 33,440 0 -167 4,127 0
No
Yes
Miscellaneous Actions
The increase in hour burden is due to an increase in the estimated time needed to file an appeal and extension request. The increase in cost burden is due to the rising estimates of hourly fees of professionals with the expertise to prepare and file appeals and requests for extension. In addition, PBGC is now combining the IC burden for Administrative Appeals submitted by individuals and Administrative Appeals submitted by employers into one IC, since both groups use the same forms and must provide the same information.

$0
No
    Yes
    Yes
No
No
No
No
Melissa Rifkin 202 326-4400 rifkin.melissa@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.
06/08/2022


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