Required Paperwork Reduction Act Notice 
	 
	The PBGC needs this information so that it can determine your
	entitlement, if any, to a pension benefit under a private defined
	benefit pension plan that has terminated.  A defined benefit plan is
	a traditional pension plan that promises a specified monthly benefit
	at retirement.  The PBGC does not pay benefits under 401(k) or other
	defined contribution plans, ongoing defined benefit plans,
	government plans, and certain other plans.  
	 
	 
	Your response is voluntary. However, the information is required in
	order for you to receive such a pension benefit.  The PBGC will use
	this information to determine the form and amount of any such
	pension benefit and to make appropriate payments.  Under the
	Paperwork Reduction Act, an agency may not conduct or sponsor, and a
	person is not required to respond to, a collection of information
	unless it displays a currently valid OMB control number.  This
	collection of information has been approved by the Office of
	Management and Budget (OMB) under control number 1212-0055 (expires
	December XX, 20XX).  The information provided to the PBGC may be
	disclosable under the Freedom of Information Act and the Privacy
	Act.  
	 
	 
	The PBGC estimates that the average burden of responding to a
	request for identifying information as part of an initial contact
	with the PBGC under the PBGC’s Pension Search program is about
	15 minutes, and that the average burden of complying with the
	information collection request in the PBGC’s application
	package is about one hour.  Comments concerning the accuracy of this
	estimate or suggestions for further reducing this burden may be sent
	to Pension Benefit Guaranty Corporation, Legislative and Regulatory
	Department, 1200 K Street, NW, Washington, DC 20005-4026.
	
	
	
| File Type | application/msword | 
| Author | Jo Amato Burns | 
| Last Modified By | Burns Jo Amato | 
| File Modified | 2012-09-26 | 
| File Created | 2012-09-26 |