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Annual Funding Notice for Defined Benefit Pension Plans
Defined Benefit Plan Annual Funding Notice
OMB: 1210-0126
IC ID: 38427
OMB.report
DOL/EBSA
OMB 1210-0126
ICR 202306-1210-002
IC 38427
( )
Documents and Forms
Document Name
Document Type
APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx
Other-Model Notice
APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx
Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx
Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx
Other-Model Notice
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Funding Notice for Defined Benefit Pension Plans
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 2520.104b-1(c)(2)(ii)(B)
29 CFR 2520.104b-1(c)(2)(ii)(C)
29 CFR 2520.104b-1(c)(2)(ii)(A)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Model Notice
APPENDIX A Single-Employer Plans Model Notice 06-15-2023.docx
Yes
No
Printable Only
Other-Model Notice
APPENDIX B Multiemployer Plans Model Notice 06-15-2023.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24,846
Number of Respondents for Small Entity:
21,616
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
94 %
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
34,845,430
0
0
-3,520,695
0
38,366,125
Annual IC Time Burden (Hours)
166,067
0
0
-31,269
0
197,336
Annual IC Cost Burden (Dollars)
2,009,083
0
0
-733,435
0
2,742,518
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.