Special Financial Assistance by PBGC

ICR 202503-1212-001

OMB: 1212-0074

Federal Form Document

Forms and Documents

Document Name	Status
Form Lock-in Applicatio Lock-In Application Form and Instruction	Unchanged
Form Lock-in Applicatio Lock-In Application Form and Instruction	Unchanged
Form SFA Filing Instruc Notice of reinstatement Form and Instruction	Unchanged
Form SFA Filing Instruc Notice of reinstatement Form and Instruction	Unchanged
Form SFA 300 Annual Statement of Compliance Form and Instruction	Unchanged
Form SFA 300 Annual Statement of Compliance Form and Instruction	Unchanged
Form SFA 201 Application for Special Financial Assistance Form and Instruction	Modified
Form SFA 201 Application for Special Financial Assistance Form and Instruction	Modified
Justification Nonmaterial Change-amendment cover letter v01.docx Justification for No Material/Nonsubstantive Change	2025-03-19
Justification Nonmaterial Change-amendment cover letter v01.docx Justification for No Material/Nonsubstantive Change	2025-03-19
Justification Nonmaterial Change - Checklist.02.docx Justification for No Material/Nonsubstantive Change	2024-07-02
Justification Nonmaterial Change - Checklist.02.docx Justification for No Material/Nonsubstantive Change	2024-07-02
sfa-assumptions-guidance.pdf Supplementary Document	2024-03-27
sfa-assumptions-guidance.pdf Supplementary Document	2024-03-27
Special Financial Assistance ICR (May 2024 Renewal) Supporting Statement.03.docx Supporting Statement A	2024-03-26
Special Financial Assistance ICR (May 2024 Renewal) Supporting Statement.03.docx Supporting Statement A	2024-03-26

IC Document Collections

IC ID	Document Title	Status
254199	Lock-In Application Form and Instruction	Unchanged
254199	Lock-In Application Form and Instruction	Unchanged
247988	Requests for determination	Unchanged
247977	Notice of reinstatement Form and Instruction	Unchanged
247977	Notice of reinstatement Form and Instruction	Unchanged
247976	Annual Statement of Compliance Form and Instruction	Unchanged
247976	Annual Statement of Compliance Form and Instruction	Unchanged
247975	Application for Special Financial Assistance Form and Instruction	Modified
247975	Application for Special Financial Assistance Form and Instruction	Modified