Pension Benefit Guaranty Corporation

PBGC

Federal Forms

Forms

OMB Number	Title
1212-0075	Request for Medical Exception to COVID-19 Vaccination Requirement
1212-0074	Special Financial Assistance by PBGC
1212-0073	Notices Following a Substantial Cessation of Operations
1212-0072	Request for Coverage Determination
1212-0071	Survey of Multiemployer Pension Plan Withdrawal Liability Information
1212-0070	Treatment of Substantial Cessation of Operations
1212-0069	Missing participants
1212-0068	Partitions of Eligible Multiemployer Plans; 29 CFR Part 4233
1212-0067	Data to Study Multiemployer Plan Guaranty Program
1212-0066	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
1212-0065	Disclosure of Information in Distress and PBGC-initiated Terminations
1212-0064	Termination Premium
1212-0063	Filings for Reconsiderations
1212-0062	Election of Multiemployer Plan Status
1212-0061	Administrative Appeals
1212-0060	Research Survey/Frozen Defined Benefit Plans
1212-0059	Filing, Issuance, Computation of Time, and Record Retention
1212-0058	Customer Satisfaction Surveys
1212-0057	Annual Information Return/Report
1212-0056	Customer Satisfaction Survey for Pension Pracitioners
1212-0055	Locating and Paying Participants
1212-0054	Qualified Domestic Relations Orders submitted to PBGC
1212-0053	Customer Service Focus Groups and Surveys
1212-0052	Customer Satisfaction Survey
1212-0051	Missing Participants
1212-0050	Disclosure to Participants
1212-0049	Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)
1212-0048	Customer Satisfaction Focus Groups for Premium Payers
1212-0047	CUSTOMER SATISFACTION MAIL SURVEYS
1212-0046	Survey of Firms with Significant Pension Plan Underfunding
1212-0045	CUSTOMER SATISFACTION FOCUS GROUP
1212-0044	Reduction or Waiver of Complete Withdrawal Liability (29 CFR Part 4207)
1212-0043	CUSTOMER SATISFACTION SURVEY
1212-0041	Notice of Failure to Make Required Contributions
1212-0040	SURVEY OF FIRMS WITH LARGEST PENSION UNDERFUNDING
1212-0039	Reduction or Waiver of Partial Withdrawal Liability (29 CFR Part 4208)
1212-0036	Termination of Single Employer Plans
1212-0035	Allocating Unfunded Vested Benefits (29 CFR Part 4211)
1212-0034	Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)
1212-0033	Notice of Insolvency (29 CFR Part 4245)
1212-0032	Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)
1212-0031	Procedures for PBGC Approval of Plan Amendments (29 CFR Part 4220)
1212-0030	Survey of Nonparticipating Single-Premium Group Annuity Rates
1212-0029	BENEFIT REDUCTIONS IN TERMINATED SINGLE-EMPLOYER PENSION PLANS AND RECOUPMENT OF BENEFIT OVERPAYMENTS
1212-0026	Annual Information Return/Report
1212-0025	APPLICATION FOR DETERMINATION UPON TERMINATION, NOTICE OF MERGER, CONSOLIDATION OR TRANSFER OF PLAN ASSETS OR LIABILITIES, NOTICE OF INTENT TO TERMINATE
1212-0024	SUPPLEMENTAL GUARANTEE PROGRAM
1212-0023	Extension of Special Withdrawal Liability Rules (29 CFR Part 4203)
1212-0022	Mergers and Transfer Between Multiemployer Plans (29 CFR Part 4231)
1212-0021	Variances for Sale of Assets (29 CFR Part 4204)
1212-0020	Termination of Multiemployer Plans (29 CFR Part 4041A)
1212-0019	ELECTION OF SINGLE-EMPLOYER PLAN STATUS
1212-0018	DETERMINATION OF PLAN SUFFICIENCY AND TERMINATION OF SUFFICIENT PLANS
1212-0017	Liability for Termination of Single-Employer Plans
1212-0016	PBGC AUDIENCE SURVEY
1212-0013	Reportable Events
1212-0012	NOTICE OF INTENT TO TERMINATE
1212-0011	AUDIT VERTIFICATION QUESTIONNAIRE
1212-0009	Payment of Premiums (29 CFR part 4007)