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Federal forms, ICRs, and supporting documents

OMB control number

Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219)

OMB 1212-0034 · PBGC.

OMB 1212-0034

In mass withdrawals, ERISA Sec. 4219(c)(1)(D) requires multiemployer plan sponsors to redetermine withdrawal liability and fully allocate unfunded vested benefits. In substantially all employers withdraw, Sec. 4209(c) requires collection of de minimis amounts. This regulation explains how to redetermine and allocate liabilities and requires notices to PBGC of mass withdrawal or if substantially all employers withdraw and of the required determinations.

The latest form for Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219) expires 2026-07-31 and is listed under ICR 202303-1212-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
1212-0034 Supporting Statement 2026.01.docxSupporting Statement A
Notice, Collection, and Redetermination of Withdrawal Liability (29 CFR Part 4219) Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-1212-006 Extension without change of a currently approved collection 2026-04-23
202303-1212-005 Revision of a currently approved collection 2023-03-24 Approved with change
202004-1212-007 Revision of a currently approved collection 2020-04-28 Approved without change
201706-1212-008 Extension without change of a currently approved collection 2017-06-21 Approved without change
201402-1212-005 Extension without change of a currently approved collection 2014-03-28 Approved with change
201101-1212-009 Extension without change of a currently approved collection 2011-02-01 Approved without change
200802-1212-008 Revision of a currently approved collection 2008-02-27 Approved without change
200501-1212-007 Extension without change of a currently approved collection 2005-01-27 Approved without change
200109-1212-007 Extension without change of a currently approved collection 2001-09-25 Approved without change
199808-1212-012 Extension without change of a currently approved collection 1998-08-28 Approved without change
199508-1212-003 Extension without change of a currently approved collection 1995-08-29 Approved without change
199506-1212-001 Extension without change of a currently approved collection 1995-06-05 Approved without change
199201-1212-001 Extension without change of a currently approved collection 1992-01-28 Approved without change
198809-1212-001 Extension without change of a currently approved collection 1988-09-28 Approved without change
198507-1212-001 New collection (Request for a new OMB Control Number) 1985-07-29 Approved without change