Information Collection

Termination of Single Employer Plans

IC 13567 under ICR 201009-1212-004 · OMB 1212-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0036 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Standard Termination Instructions 2010 Final.pdf	Instruction
Distress termination instructions 2010 Final.pdf	Instruction
MP_instructions 2010 Final.pdf	Instruction
500-501 Standard Termination Standard termination forms 2010 Final.pdf	Form
600-602 Distress Termination Distress termination forms 2010 Final.pdf	Form
Schedule MP Schedule MP (to Forms 501 and 602) MP forms 2010 Final.pdf	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Standard Termination Instructions 2010 Final.pdf	Yes	No	Printable Only
Form	500-501	Standard Termination	Standard termination forms 2010 Final.pdf	Yes	No	Printable Only
Instruction			Distress termination instructions 2010 Final.pdf	Yes	No	Printable Only
Form	600-602	Distress Termination	Distress termination forms 2010 Final.pdf	Yes	No	Printable Only
Instruction			MP_instructions 2010 Final.pdf	Yes	No	Printable Only
Form	Schedule MP	Schedule MP (to Forms 501 and 602)	MP forms 2010 Final.pdf	Yes	No	Printable Only

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,379	120	1,259
Annual IC Time Burden (Hours)	2,161	80	2,081
Annual IC Cost Burden (Dollars)	3,098,441	331,762	2,766,679

Documents for IC

table that charts IC Documents
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.