Termination of Single Employer Plans

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Standard Termination Instructions 2011 Final.docx Instruction
Distress Termination Instructions 2011 Final.docx Instruction
MP_instructions.pdf www.pbgc.gov/Documents/MP_instructions_092804.pdf Instruction
500-501 Standard termination forms Form 500-501.pdf www.pbgc.gov/documents/500and501.pdf Form
Forms 600-602 Distress termination forms Form 600-602.pdf www.pbgc.gov/Documents/600-601-602.pdf Form
Schedule MP Schedule MP Schedule MP.pdf www.pbgc.gov/Documents/mp_form_092804.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Standard Termination Instructions 2011 Final.docx		Yes	No	Printable Only
Form	500-501	Standard termination forms	Form 500-501.pdf	http://www.pbgc.gov/documents/500and501.pdf	Yes	Yes	Fillable Printable
Instruction			Distress Termination Instructions 2011 Final.docx		Yes	No	Printable Only
Form	Forms 600-602	Distress termination forms	Form 600-602.pdf	http://www.pbgc.gov/Documents/600-601-602.pdf	Yes	No	Printable Only
Instruction			MP_instructions.pdf	http://www.pbgc.gov/Documents/MP_instructions_092804.pdf	Yes	No	Printable Only
Form	Schedule MP	Schedule MP	Schedule MP.pdf	http://www.pbgc.gov/Documents/mp_form_092804.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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,379	1,379
Annual IC Time Burden (Hours)	2,161	2,161
Annual IC Cost Burden (Dollars)	3,098,441	3,098,441

Documents for IC

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.