Termination of Single Employer Plans

Termination of Single Employer Plans

OMB: 1212-0036

IC ID: 13567

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Information Collection (IC) Details

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Termination of Single Employer Plans
 
No Modified
 
Mandatory
 
29 CFR 4041 29 CFR 4050

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PBGC Form 500 Standard Termination Notice Single-Employer Plan Termination PBGC Form 500 -- 2007.pdf Yes No Printable Only
Instruction Standard Termination Instructions 2007.pdf Yes No Printable Only
Form PBGC Form 501 Post-Distribution Certification for Standard Termination PBGC Form 501 -- 2007.pdf Yes No Printable Only
Form PBGC Schedule REP-S Standard Termination Designation of Representative PBGC Schedule REP-S -- 2007.pdf Yes No Printable Only
Form PBGC Schedule EA-S Standard Termination Certification of Sufficiency PBGC Schedule EA-S -- 2007.pdf Yes No Printable Only
Instruction Distress Termination Instructions 2007.pdf Yes No Printable Only
Form PBGC Form 600 Distress Terminaton Notice of Intent to Terminate PBGC Form 600 -- 2007.pdf Yes No Printable Only
Form PBGC Schedule REP-D Distress Termination Designation of Representative PBGC Schedule REP-D -- 2007.pdf Yes No Printable Only
Form PBGC Form 601 Distress Termination Notice Single-Employer Plan Termination PBGC Form 601 -- 2007.pdf Yes No Printable Only
Form PBGC Schedule EA-D Distress Termination Enrolled Actuary Certification PBGC Schedule EA-D -- 2007.pdf Yes No Printable Only
Form PBGC Form 602 Post-Distribution Certification for Distress Termination PBGC Form 602 -- 2007.pdf Yes No Printable Only
Instruction Missing Participants Instructions -- 2007.pdf Yes No Printable Only
Form Schedule MP Missing Participant Information Schedule MP -- 2007.pdf Yes No Printable Only
Form Attachment A (to Schedule MP) Missing Participant Annuity Purchase Information Missing Participants Attachment A -- 2007.pdf Yes No Printable Only
Form Attachment B (to Schedule MP) Missing Participant Individual Information Missing Participants Attachment B -- 2007.pdf Yes No Printable Only
Form Payment Voucher (to Schedule MP) Missing Participant Payment Voucher Missing Participant Payment Voucher -- 2007.pdf Yes No Printable Only

Income Security General Retirement and Disability

 

1,259 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 1,259 0 0 84 0 1,175
Annual IC Time Burden (Hours) 2,081 0 0 338 0 1,743
Annual IC Cost Burden (Dollars) 2,766,679 0 0 793,679 0 1,973,000

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