Annual Statement of Compliance

Special Financial Assistance by PBGC

OMB: 1212-0074

IC ID: 247976

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Form and Instruction
Form and Instruction
Instruction
Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
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Annual Statement of Compliance
 
No Unchanged
 
Mandatory
 
29 CFR 4262

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SFA 300 Annual Statement of Compliance annual-statement-compliance 2024.pdf https://www.pbgc.gov/sites/default/files/documents/annual-statement-compliance.pdf Yes Yes Fillable Fileable
Instruction Screenshots for ASOC 3.22.docx Yes Yes Fillable Fileable
Instruction SFA ASOC Instructions v.13 with certification .docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

PBGC – 19: Office of General Counsel Case Management System  83 FR 6247

150 0
   
Private Sector Not-for-profit institutions
 
   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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 300 0 0 0 0 300
Annual IC Cost Burden (Dollars) 360,000 0 0 0 0 360,000

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