Liability for Termination of Single-Employer Plans

OMB 1212-0017

OMB 1212-0017

A contributing sponsor of a terminating single-employer plan or member of its controlled group ("employer") that believes ERISA 4062(b) liabiity 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 2023-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
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Revision of a currently approved collection 2023-07-21
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Revision of a currently approved collection 2020-06-10
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Extension without change of a currently approved collection 2017-05-31
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Extension without change of a currently approved collection 2014-03-20
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Extension without change of a currently approved collection 2011-01-31
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Extension without change of a currently approved collection 2008-02-01
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Extension without change of a currently approved collection 2004-12-23
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Extension without change of a currently approved collection 2001-09-25
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Extension without change of a currently approved collection 1998-08-06
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Extension without change of a currently approved collection 1995-07-26
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Revision of a currently approved collection 1992-04-03
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-11
Approved without change
Revision of a currently approved collection 1988-12-29
Approved without change
Revision of a currently approved collection 1985-12-02
Approved without change
Extension without change of a currently approved collection 1982-12-29
Approved without change
New collection (Request for a new OMB Control Number) 1981-01-14

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