OMB control number
Notice of Insolvency (29 CFR Part 4245)
OMB 1212-0033 ยท PBGC.
OMB 1212-0033
These notices, mandated by section 4245(e) of the Employee Retirement Income Security Act of 1974 and 29 CFR Part 2674, provide information PBGC needs to estimate cash requirements for financial assistance to troubled mutliemployer pension plans, and other interested parties need for financial planning or to bargain over contribution increases. Multiemployer plans that are or may become insolvent give these notices.
The latest form for Notice of Insolvency (29 CFR Part 4245) expires 2028-06-30 and is listed under ICR 202504-1212-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 003 Combined Notice of Insolvency and Notice of Insolvency Benefit Level | Form and Instruction |
| Form 002 Notice of Insolvency | Form |
| Form 001 Notice of Insolvency Benefit Level | Form |
| Form 001 Notice of Insolvency (29 CFR Part 4245) | Form |
 Supporting statement part 4245 2025 v3.docx | Supporting Statement A |
| Supporting statement part 4245 2025 v3.docx | Supporting Statement A |
 Notice of Insolvency (29 CFR Part 4245) |
Instruction |
| Notice of Insolvency (29 CFR Part 4245) |
Form and Instruction |
| Notice of Insolvency (29 CFR Part 4245) |
Form |
| Notice of Insolvency (29 CFR Part 4245) |
Form |
| Notice of Insolvency (29 CFR Part 4245) |
Form |