Information Collection

Termination of Single Employer Plans

IC 13567 under ICR 202209-1212-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form PBGC Form 501 Termination of Single Employer Plans	Form
Final - schedule-mp-instructions to OMB.pdf	Instruction
Final - schedule-mp-instructions to OMB.pdf	Instruction
Distress-Terminations-Filing Instructions 2020.pdf	Instruction
Distress-Terminations-Filing Instructions 2020.pdf	Instruction
Standard Termination Filing Instructions 9-9-22.pdf	Instruction
Standard Termination Filing Instructions 9-9-22.pdf	Instruction
PBGC Form 501 Post-Distribution Certification for Standard Termination Clean Standard Termination Form 501 March 2018.pdf	Form
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
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
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
PBGC Forms 600, 60 Distress Termination Notice of Intent to Terminate; Dist 600-601-602, 2020.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
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 - 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
Instruction			Standard Termination Filing Instructions 9-9-22.pdf	Yes	Yes	Fillable Printable

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 %

table that charts list of burden
	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

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.