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Form 716A Certification of Pension Plan Disability Status
Locating and Paying Participants
Form716A exp 10312021 07072021
Locating and Paying Participants
OMB: 1212-0055
OMB.report
PBGC
OMB 1212-0055
ICR 202212-1212-002
IC 13603
Form 716A Certification of Pension Plan Disability Status
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1212-0055 can be found here:
2025-04-10 - No material or nonsubstantive change to a currently approved collection
2024-05-21 - Revision of a currently approved collection
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