OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Termination of Single Employer Plans

OMB 1212-0036 ยท PBGC.

OMB 1212-0036

Plan administrators of plans terminating voluntarily must submit certain information to PBGC and provide certain information to affected third parties. PBGC needs the information required to be submitted to ensure that a voluntary termination is completed in accordance with statutory and regulatory requirements and to facilitate the payment of benefits to missing participants. Participants need the information required to be disclosed so that they will be informed about the status of the proposed termination of their plan and about their benefits upon termination.

The latest form for Termination of Single Employer Plans expires 2028-09-30 and is listed under ICR 202607-1212-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Schedule MP Schedule MPForm
Form Schedule MP Schedule MPForm
Form Form 501 Post-Distribution Certification for Standard TerminationForm
Form Form 501 Post-Distribution Certification for Standard TerminationForm
Form Form 500 Standard Termination Certification of SufficiencyForm
Form Form 500 Standard Termination Certification of SufficiencyForm
Form 600, 601, and 602 Notice of Intent to Terminate (Form 600), Notice of Single-Employer Plan Termination (Form 601), Post-Distribution Certification (Form 602),Form
Form 600, 601, and 602 Notice of Intent to Terminate (Form 600), Notice of Single-Employer Plan Termination (Form 601), Post-Distribution Certification (Form 602),Form
Justification of nonmaterial change_1212-0036 NOPB clarifications.03.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 NOPB clarifications.03.docxJustification for No Material/Nonsubstantive Change
Standard Termination Filing Instructions_NOPB clarifications.01.pdfJustification for No Material/Nonsubstantive Change
Standard Termination Filing Instructions_NOPB clarifications.01.pdfJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 e-Filing Portal.06.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 e-Filing Portal.06.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 Paper Checks.03.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 Paper Checks.03.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 e-Filing Portal.02.docxJustification for No Material/Nonsubstantive Change
Justification of nonmaterial change_1212-0036 e-Filing Portal.02.docxJustification for No Material/Nonsubstantive Change
4041 Supporting Statement 2025.07.docxSupporting Statement A
4041 Supporting Statement 2025.07.docxSupporting Statement A
Justification Nonmaterial Change Distress Termination v.02.docxJustification for No Material/Nonsubstantive Change
Justification Nonmaterial Change Distress Termination v.02.docxJustification for No Material/Nonsubstantive Change
Justification Nonmaterial Change Standard Termination.05.docxJustification for No Material/Nonsubstantive Change
Justification Nonmaterial Change Standard Termination.05.docxJustification for No Material/Nonsubstantive Change
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Form
Termination of Single Employer Plans Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202607-1212-003 No material or nonsubstantive change to a currently approved collection 2026-07-07 Approved without change
202606-1212-002 No material or nonsubstantive change to a currently approved collection 2026-06-04
202602-1212-001 No material or nonsubstantive change to a currently approved collection 2026-02-27 Approved with change
202511-1212-001 No material or nonsubstantive change to a currently approved collection 2025-11-21 Approved without change
202504-1212-001 Revision of a currently approved collection 2025-04-09
202409-1212-002 No material or nonsubstantive change to a currently approved collection 2024-09-25
202310-1212-004 No material or nonsubstantive change to a currently approved collection 2023-10-20 Approved without change
202301-1212-003 Revision of a currently approved collection 2023-02-03 Approved without change
202209-1212-001 No material or nonsubstantive change to a currently approved collection 2022-09-09 Approved without change
202005-1212-001 No material or nonsubstantive change to a currently approved collection 2020-05-21 Approved without change
201911-1212-004 Revision of a currently approved collection 2020-02-04 Approved without change
201906-1212-001 Revision of a currently approved collection 2019-06-28 Comment filed on proposed rule and continue
201806-1212-001 No material or nonsubstantive change to a currently approved collection 2018-06-12 Approved without change
201802-1212-001 Reinstatement with change of a previously approved collection 2018-02-09 Approved with change
201409-1212-001 Revision of a currently approved collection 2014-10-21 Approved with change
201312-1212-001 Revision of a currently approved collection 2013-12-20 Approved without change
201211-1212-001 No material or nonsubstantive change to a currently approved collection 2012-11-05 Approved without change
201110-1212-001 Revision of a currently approved collection 2011-11-01 Comment filed on proposed rule and continue
201009-1212-004 Revision of a currently approved collection 2010-09-07 Approved without change
200811-1212-001 No material or nonsubstantive change to a currently approved collection 2008-11-24 Approved without change
200711-1212-009 No material or nonsubstantive change to a currently approved collection 2007-11-27 Approved without change
200708-1212-001 Revision of a currently approved collection 2007-08-16 Approved without change
200407-1212-001 Extension without change of a currently approved collection 2004-07-30 Approved without change
200103-1212-001 Extension without change of a currently approved collection 2001-03-16 Approved without change
199711-1212-001 Revision of a currently approved collection 1997-11-06 Approved without change
199703-1212-001 Revision of a currently approved collection 1997-03-14 Comment filed on proposed rule and continue
199512-1212-002 Revision of a currently approved collection 1995-12-28 Approved without change
199511-1212-001 No material or nonsubstantive change to a currently approved collection 1995-11-28 Approved without change
199508-1212-005 Extension without change of a currently approved collection 1995-08-24 Approved without change
199212-1212-001 Revision of a currently approved collection 1992-12-14 Approved without change
199210-1212-003 No material or nonsubstantive change to a currently approved collection 1992-10-30 Approved with change
199111-1212-002 Revision of a currently approved collection 1991-11-13 Approved without change
199108-1212-001 No material or nonsubstantive change to a currently approved collection 1991-08-15 Approved with change
199002-1212-001 Revision of a currently approved collection 1990-02-16 Approved without change
198908-1212-001 Revision of a currently approved collection 1989-08-22 Approved without change
198906-1212-004 No material or nonsubstantive change to a currently approved collection 1989-06-13 Approved with change
198906-1212-003 Revision of a currently approved collection 1989-06-30 Approved without change
198906-1212-001 Revision of a currently approved collection 1989-06-26 Withdrawn and continue
198801-1212-002 Revision of a currently approved collection 1988-01-14 Approved without change
198711-1212-001 Revision of a currently approved collection 1987-11-02 Approved without change
198708-1212-001 Revision of a currently approved collection 1987-08-26 Approved without change
198609-1212-001 Extension without change of a currently approved collection 1986-09-12 Approved without change
198604-1212-002 New collection (Request for a new OMB Control Number) 1986-04-03 Approved without change