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Termination of Single Employer Plans
Termination of Single Employer Plans
OMB: 1212-0036
IC ID: 13567
OMB.report
PBGC
OMB 1212-0036
ICR 202301-1212-003
IC 13567
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0036 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2023-10-20 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
500-instructions 2023 changes.pdf
Instruction
500-instructions 2023 changes.pdf
Instruction
distress-terminations-instructions.pdf
Instruction
distress-terminations-instructions.pdf
Instruction
schedule-mp-instructions.pdf
Instruction
schedule-mp-instructions.pdf
Instruction
500 and 501 Notice Single-Employer Plan Termination (Form 500), Post
500and501a.pdf
Form
500 and 501 Notice Single-Employer Plan Termination (Form 500), Post
500and501a.pdf
Form
600, 601, and 602 Notice of Intent to Terminate (Form 600), Notice of Sing
600-601-602.pdf
Form
600, 601, and 602 Notice of Intent to Terminate (Form 600), Notice of Sing
600-601-602.pdf
Form
Schedule MP Schedule MP
schedule-mp.pdf
Form
Schedule MP Schedule MP
schedule-mp.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
500-instructions 2023 changes.pdf
Yes
Yes
Fillable Printable
Form
500 and 501
Notice Single-Employer Plan Termination (Form 500), Post-Distribution Certification for Standard Termination (Form 501)
500and501a.pdf
Yes
Yes
Fillable Fileable
Form
600, 601, and 602
Notice of Intent to Terminate (Form 600), Notice of Single-Employer Plan Termination (Form 601), Post-Distribution Certification (Form 602),
600-601-602.pdf
Yes
Yes
Fillable Fileable
Instruction
distress-terminations-instructions.pdf
Yes
Yes
Fillable Printable
Form
Schedule MP
Schedule MP
schedule-mp.pdf
Yes
Yes
Fillable Fileable
Instruction
schedule-mp-instructions.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,654
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:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,654
0
141
0
0
1,513
Annual IC Time Burden (Hours)
41,730
0
10,789
0
0
30,941
Annual IC Cost Burden (Dollars)
8,509,747
0
2,331,547
0
0
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.