Information Collection Request

Special Financial Assistance by PBGC

ICR 202210-1212-001 · OMB 1212-0074 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0074 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form SFA Lock-In Applic Lock-In Application	Form and Instruction	Unchanged	Available
Form SFA Filing Instruc Notice of reinstatement	Form and Instruction	Unchanged	Available
Form SFA 300 Annual Statement of Compliance	Form and Instruction	Unchanged	Available
Form SFA 201 Application for Special Financial Assistance	Form and Instruction	Modified	Available
Justification Nonmaterial Change, Letter from Bank Official, October 2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-10-24	Available
Justification Nonmaterial Change Model Documents.04.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-08-10	Available
Justification Nonmaterial Change SFA Templates August 2.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-08-03	Available
Special Financial Assistance ICR Final Rule Supporting Statement.08.docx	Supporting Statement A	Uploaded 2022-07-08	Available
SFA FR Emergency Memo.4.docx	Supplementary Document	Uploaded 2022-07-08	Available

Information collection document groups
IC ID	Collection	Type	Status
254199	Lock-In Application	Form and Instruction	Unchanged
247988	Requests for determination		Unchanged
247977	Notice of reinstatement	Form and Instruction	Unchanged
247976	Annual Statement of Compliance	Form and Instruction	Unchanged
247975	Application for Special Financial Assistance	Form and Instruction	Modified

Record metadata
Status	Active
Agency/Subagency	PBGC
OMB Control No	1212-0074
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202208-1212-002
Date Submitted to OIRA	2022-10-24
Requested Expiration Date	2022-08-08