OMB
.report
Search
Termination of Single Employer Plans
Termination of Single Employer Plans
OMB: 1212-0036
IC ID: 13567
OMB.report
PBGC
OMB 1212-0036
ICR 201110-1212-001
IC 13567
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0036 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2023-10-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Standard Termination Instructions 2011 Final.docx
Instruction
Distress Termination Instructions 2011 Final.docx
Instruction
MP_instructions.pdf
www.pbgc.gov/Documents/MP_instructions_092804.pdf
Instruction
500-501 Standard termination forms
Form 500-501.pdf
www.pbgc.gov/documents/500and501.pdf
Form
Forms 600-602 Distress termination forms
Form 600-602.pdf
www.pbgc.gov/Documents/600-601-602.pdf
Form
Schedule MP Schedule MP
Schedule MP.pdf
www.pbgc.gov/Documents/mp_form_092804.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Termination of Single Employer Plans
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4041
29 CFR 4050
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Standard Termination Instructions 2011 Final.docx
Yes
No
Printable Only
Form
500-501
Standard termination forms
Form 500-501.pdf
http://www.pbgc.gov/documents/500and501.pdf
Yes
Yes
Fillable Printable
Instruction
Distress Termination Instructions 2011 Final.docx
Yes
No
Printable Only
Form
Forms 600-602
Distress termination forms
Form 600-602.pdf
http://www.pbgc.gov/Documents/600-601-602.pdf
Yes
No
Printable Only
Instruction
MP_instructions.pdf
http://www.pbgc.gov/Documents/MP_instructions_092804.pdf
Yes
No
Printable Only
Form
Schedule MP
Schedule MP
Schedule MP.pdf
http://www.pbgc.gov/Documents/mp_form_092804.pdf
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:
1,379
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
1,379
0
0
0
0
1,379
Annual IC Time Burden (Hours)
2,161
0
0
0
0
2,161
Annual IC Cost Burden (Dollars)
3,098,441
0
0
0
0
3,098,441
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.