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Federal forms, ICRs, and supporting documents

OMB control number

Termination of Multiemployer Plans (29 CFR Part 4041A)

OMB 1212-0020 · PBGC.

OMB 1212-0020

Plan sponsors of terminating multiemployer pension plans give notices to PBGC about plan terminations and to plan participants about electing benefit options, and apply to PBGC for permission to pay lump sums greater than $1,750 or to pay nonvested plan benefits. PBGC uses information submitted to it to assess the likelihood of benefit reductions or suspensions and risks to PBGC and participants and to estimate the need for financial assistance to plans. Participants use information sent to them to make personal financial decisions. Plans terminated by mass withdrawal, plans terminated by plan amendment that are expected to become insolvent, and insolvent plans receiving financial assistance from PBGC are required to file actuarial valuations with PBGC.

The latest form for Termination of Multiemployer Plans (29 CFR Part 4041A) expires 2028-06-30 and is listed under ICR 202504-1212-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 002 Actuarial ValuationForm and Instruction
Form 001 Notice of TerminationForm and Instruction
Form 001 Termination of Multiemployer Plans (29 CFR Part 4041A)Form and Instruction
2025 Support statement part 4041A v.4.docxSupporting Statement A
2025 Support statement part 4041A v.4.docxSupporting Statement A
Termination of Multiemployer Plans (29 CFR Part 4041A) Instruction
Termination of Multiemployer Plans (29 CFR Part 4041A) Form and Instruction
Termination of Multiemployer Plans (29 CFR Part 4041A) Form and Instruction
Termination of Multiemployer Plans (29 CFR Part 4041A) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202504-1212-007 Revision of a currently approved collection 2025-05-19
202205-1212-002 Revision of a currently approved collection 2022-05-17 Approved without change
201905-1212-002 Revision of a currently approved collection 2019-05-08 Approved without change
201812-1212-001 Revision of a currently approved collection 2018-12-11 Comment filed on proposed rule and continue
201807-1212-001 Revision of a currently approved collection 2018-09-11 Approved without change
201509-1212-004 Revision of a currently approved collection 2015-09-18 Approved without change
201503-1212-004 Revision of a currently approved collection 2015-04-09 Comment filed on proposed rule and continue
201401-1212-003 Revision of a currently approved collection 2014-03-28 Approved with change
201101-1212-005 Extension without change of a currently approved collection 2011-02-01 Approved without change
200802-1212-001 Revision of a currently approved collection 2008-02-27 Approved without change
200501-1212-001 Extension without change of a currently approved collection 2005-01-27 Approved without change
200109-1212-001 Extension without change of a currently approved collection 2001-09-25 Approved without change
199808-1212-003 Extension without change of a currently approved collection 1998-08-28 Approved without change
199803-1212-001 Extension without change of a currently approved collection 1998-03-02 Approved without change
199412-1212-003 Extension without change of a currently approved collection 1994-12-27 Approved without change
199411-1212-001 No material or nonsubstantive change to a currently approved collection 1994-11-08 Approved with change
199109-1212-001 Extension without change of a currently approved collection 1991-09-26 Approved without change
198807-1212-001 Extension without change of a currently approved collection 1988-07-27 Approved without change
198503-1212-002 Revision of a currently approved collection 1985-03-06 Approved without change
198304-1212-001 Reinstatement with change of a previously approved collection 1983-04-07 Approved without change
198212-1212-003 Reinstatement without change of a previously approved collection 1982-12-14 Disapproved
198107-1212-001 New collection (Request for a new OMB Control Number) 1981-07-01 Approved without change