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Notice of reinstatement
Special Financial Assistance by PBGC
OMB: 1212-0074
IC ID: 247977
OMB.report
PBGC
OMB 1212-0074
ICR 202407-1212-001
IC 247977
( )
Documents and Forms
Document Name
Document Type
Form SFA Filing Instruc
Notice of reinstatement
Form and Instruction
Form SFA Filing Instruc
Notice of reinstatement
Form and Instruction
SFA Filing Instruc SFA Filing Instructions, Addendum B
addendum-b-suspended-benefits.pdf
Form and Instruction
SFA Filing Instruc SFA Filing Instructions, Addendum B
addendum-b-suspended-benefits.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Notice of reinstatement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4262
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SFA Filing Instructions, Addendum B
SFA Filing Instructions, Addendum B
addendum-b-suspended-benefits.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
PBGC – 19: Office of General Counsel Case Management System
FR Citation:
83 FR 6247
Number of Respondents:
2
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
2
0
0
0
0
2
Annual IC Time Burden (Hours)
4
0
0
0
0
4
Annual IC Cost Burden (Dollars)
4,000
0
0
0
0
4,000
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.