Application for Special Financial Assistance

Special Financial Assistance by PBGC

OMB: 1212-0074

IC ID: 247975

Documents and Forms

Document Name Document Type
Form SFA 201 Application for Special Financial Assistance Form and Instruction
SFA 201 SFA Template 1 Template 1 v20220701p (5).xlsx www.pbgc.gov/sites/default/files/sfa/template-1.xlsx Form and Instruction
SFA 202 SFA Template 2 part-4262-final-rule-template-2 .xlsx www.pbgc.gov/sites/default/files/sfa/template-2.xlsx Form and Instruction
SFA 203 SFA Template 3 Template 3.xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-3.xlsx Form and Instruction
SFA 204-A SFA Template 4A part-4262-final-rule-template-4a.xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-4a.xlsx Form and Instruction
SFA 204-B SFA Template 4B part-4262-final-rule-template-4b .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-4b.xlsx Form and Instruction
SFA 205-A SFA Template 5A part-4262-final-rule-template-5a .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-5a.xlsx Form and Instruction
SFA 205-B SFA Template 5B part-4262-final-rule-template-5b.xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-5b.xlsx Form and Instruction
SFA 206-B SFA Template 6B part-4262-final-rule-template-6b .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-6b.xlsx Form and Instruction
SFA 207 SFA Template 7 part-4262-final-rule-template-7 .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-7.xlsx Form and Instruction
SFA 208 SFA Template 8 part-4262-final-rule-template-8 .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-8.xlsx Form and Instruction
SFA 206-A SFA Template 6A part-4262-final-rule-template-6a.xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-6a.xlsx Form and Instruction
SFA 209 SFA Template 9 part-4262-final-rule-template-9 .xlsx www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-9.xlsx Form and Instruction
SFA Filing Instructions, Addendum A SFA Filing Instructions, Addendum A addendum-a-engaged-certain-events.pdf Form and Instruction
SFA Filing Instructions, Addendum C SFA Filing Instructions, Addendum C addendum-c-ifr-filers-supplemental-application.pdf Form and Instruction
SFA Filing Instructions, Addendum D SFA Filing Instructions, Addendum D addendum-d-mpra-plans.pdf Form and Instruction
SFA 100 SFA Application Checklist checklist-general-sfa-application .xlsx www.pbgc.gov/sites/default/files/sfa/checklist-general-sfa-application.xlsx Form and Instruction
SFA 100-Supplemented SFA Template Checklist, Supplemented Application checklist-supplemented-sfa-application .xlsx www.pbgc.gov/sites/default/files/sfa/checklist-supplemented-sfa-application.xlsx Form and Instruction
PBGC E-filing Portal PBGC E-filing Portal SFA EFP Screenshots.docx Form
SFA Application Amendment Cover Letter SFA Application Amendment Cover Letter sfa-application-amendment-cover-letter.pdf www.pbgc.gov/documents/sfa-application-amendment-cover-letter Form and Instruction
Model Plan Amendment Compliance Model Plan Amendment Compliance model-plan-amendment-compliance.docx www.pbgc.gov/sites/default/files/documents/model-plan-amendment-compliance.docx Form and Instruction
Model Plan Amendment, Reinstatement Model Plan Amendment, Reinstatement model-plan-amendment-reinstatement.docx www.pbgc.gov/sites/default/files/documents/model-plan-amendment-reinstatement.docx Form and Instruction
Model Certification Model Certification model-certification-plan-sponsor-reinstatement.docx www.pbgc.gov/sites/default/files/documents/model-certification-plan-sponsor-reinstatement.docx Form and Instruction
sfa-filing-instructions.pdf www.pbgc.gov/sites/default/files/sfa/sfa-filing-instructions.pdf Instruction
SFA Template 10 SFA Template 10 Copy of pre-2021-final-sfa-assumption-summaries-template-10.xlsx www.pbgc.gov/documents/pre-2021-zone-certification-baseline-details-and-final-sfa-assumption-summaries Form and Instruction