Notices Following a Substantial Cessation of Operations

Notices Following a Substantial Cessation of Operations

OMB: 1212-0073

IC ID: 237358

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Notices Following a Substantial Cessation of Operations
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction form-4062-e-instructions 2022.pdf https://www.pbgc.gov/sites/default/files/form-4062-e-instructions.pdf Yes Yes Fillable Fileable
Form PBGC Form 4062(e)-01 Notice of Section 4062(e) Event notice-section-4062e4-event-form 2022.pdf https://www.pbgc.gov/sites/default/files/notice-section-4062e4-event-form.pdf Yes Yes Fillable Fileable
Form PBGC Form 4062(e)-02 Notice of Election under ERISA 4062(e)(4) notice-elect-erisa-4062e4-form 2022.pdf https://www.pbgc.gov/sites/default/files/notice-elect-erisa-4062e4-form.pdf Yes Yes Fillable Fileable
Form PBGC Form 4062(e)-03 Notice of Additional Contributions under ERISA 4062(e)(4) notice-addt-contrib-erisa-4062e4-form 2022.pdf https://www.pbgc.gov/sites/default/files/notice-addt-contrib-erisa-4062e4-form.pdf Yes Yes Fillable Fileable
Form PBGC Form 4062(e)-04 Notice of Failure to Make Additional Contributions under ERISA 4062(e)(4) notice-fail-addt-contrib-erisa-4062e4-form 2022.pdf https://www.pbgc.gov/sites/default/files/notice-fail-addt-contrib-erisa-4062e4-form.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

5 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5 0 0 -65 0 70
Annual IC Time Burden (Hours) 39 0 0 -276 0 315
Annual IC Cost Burden (Dollars) 39,415 0 0 -53,335 0 92,750

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