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⚠️ Notice: This information collection may be referencing outdated material.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
Form PBGC Form 501 Termination of Single Employer Plans Form
Final Std. Termination Instructions to OMB.pdf Instruction
Final - schedule-mp-instructions to OMB.pdf Instruction
Distress-Terminations-Filing Instructions 2020.pdf Instruction
PBGC Form 501 Post-Distribution Certification for Standard Termination Clean Standard Termination Form 501 March 2018.pdf Form
PBGC Form 500 Standard Termination Notice Single-Employer Plan Termina Form 500.pdf Form
Schedule MP (to fo Missing Participant Information Clean Schedule MP forms March 2018.pdf Form
PBGC Forms 600, 60 Distress Termination Notice of Intent to Terminate; Dist 600-601-602, 2020.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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PBGC Form 501	Post-Distribution Certification for Standard Termination	Clean Standard Termination Form 501 March 2018.pdf	Yes	Yes	Fillable Printable
Form	PBGC Form 500	Standard Termination Notice Single-Employer Plan Termination	Form 500.pdf	Yes	Yes	Fillable Printable
Form	Schedule MP (to forms 501 and 602)	Missing Participant Information	Clean Schedule MP forms March 2018.pdf	Yes	Yes	Fillable Printable
Instruction			Final Std. Termination Instructions to OMB.pdf	Yes	Yes	Fillable Printable
Instruction			Final - schedule-mp-instructions to OMB.pdf	Yes	Yes	Fillable Printable
Form	PBGC Forms 600, 601, 602	Distress Termination Notice of Intent to Terminate; Distress Termination Notice Single-Employer Plan Termination; Distress Termination Post-Distribution Certification	600-601-602, 2020.pdf	Yes	Yes	Fillable Printable
Instruction			Distress-Terminations-Filing Instructions 2020.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,513	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,513	1,513
Annual IC Time Burden (Hours)	30,941	30,941
Annual IC Cost Burden (Dollars)	6,178,200	6,178,200

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.