OMB control number

Liability for Termination of Single-Employer Plans

OMB 1212-0017 ยท PBGC.

OMB 1212-0017

A contributing sponsor of a terminating single-employer plan or member of its controlled group ("employer") that believes ERISA 4062(b) liability exceeds 30% of the employer's net worth is required to so notify PBGC and submit net worth information; the amount of employer liability subject to the statutory lien and the payment terms are affected by whether and to what extent such liability exceeds 30% of the employer's net worth.

The latest form for Liability for Termination of Single-Employer Plans expires 2029-07-31 and is listed under ICR 202606-1212-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
2026 Supporting Statement 1212-0017.03.docxSupporting Statement A
Liability for Termination of Single-Employer Plans Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-1212-001 Extension without change of a currently approved collection 2026-06-04
202307-1212-001 Revision of a currently approved collection 2023-07-21 Approved without change
202006-1212-001 Revision of a currently approved collection 2020-06-10 Approved with change
201705-1212-001 Extension without change of a currently approved collection 2017-05-31 Approved without change
201403-1212-003 Extension without change of a currently approved collection 2014-03-20 Approved with change
201101-1212-017 Extension without change of a currently approved collection 2011-01-31 Approved without change
200711-1212-002 Extension without change of a currently approved collection 2008-02-01 Approved without change
200412-1212-001 Extension without change of a currently approved collection 2004-12-23 Approved without change
200109-1212-012 Extension without change of a currently approved collection 2001-09-25 Approved without change
199808-1212-001 Extension without change of a currently approved collection 1998-08-06 Approved without change
199507-1212-001 Extension without change of a currently approved collection 1995-07-26 Approved without change
199204-1212-001 Revision of a currently approved collection 1992-04-03 Approved without change
198904-1212-004 No material or nonsubstantive change to a currently approved collection 1989-04-11 Approved with change
198812-1212-001 Revision of a currently approved collection 1988-12-29 Approved without change
198512-1212-001 Revision of a currently approved collection 1985-12-02 Approved without change
198212-1212-001 Extension without change of a currently approved collection 1982-12-29 Approved without change
198101-1212-001 New collection (Request for a new OMB Control Number) 1981-01-14 Approved without change