OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Notice of Failure to Make Required Contributions

OMB 1212-0041 ยท PBGC.

OMB 1212-0041

To implement a statutory requirement, PBGC requires contributing sponsors and parents of parent-subsidiary controlled groups of which a contributing sponsor is a member to submit Form 200 to notify PBGC of failures to make required payments. PBGC uses this information to make decisions regarding enforcement of statutory liens.

The latest form for Notice of Failure to Make Required Contributions expires 2027-05-31 and is listed under ICR 202404-1212-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Form 200 Notice of Failure to Make Required ContributionsForm
1212-0041 Supporting Statement 2024.03.docxSupporting Statement A
Justification Nonmaterial Change Form 200 LeapFile.02.docx Justification for No Material/Nonsubstantive Change
Notice of Failure to Make Required Contributions Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202404-1212-002 Revision of a currently approved collection 2024-04-10 Approved without change
202310-1212-002 No material or nonsubstantive change to a currently approved collection 2023-10-20 Approved without change
202106-1212-002 Revision of a currently approved collection 2021-06-14 Approved without change
201810-1212-002 Revision of a currently approved collection 2018-10-12 Approved without change
201509-1212-002 Revision of a currently approved collection 2015-09-11 Approved without change
201503-1212-006 Revision of a currently approved collection 2015-03-30 Approved without change
201302-1212-002 Revision of a currently approved collection 2013-04-03 Comment filed on proposed rule and continue
201204-1212-003 No material or nonsubstantive change to a currently approved collection 2012-04-19 Approved without change
201202-1212-003 Extension without change of a currently approved collection 2012-02-15 Approved without change
200911-1212-001 Revision of a currently approved collection 2009-11-25 Comment filed on proposed rule and continue
200901-1212-005 Revision of a currently approved collection 2009-01-29 Approved without change
200512-1212-002 Extension without change of a currently approved collection 2005-12-23 Approved without change
200212-1212-001 Extension without change of a currently approved collection 2002-12-03 Approved without change
199909-1212-001 Extension without change of a currently approved collection 1999-09-03 Approved without change
199612-1212-002 No material or nonsubstantive change to a currently approved collection 1996-12-09 Approved without change
199607-1212-003 Revision of a currently approved collection 1996-07-23 Approved without change
199412-1212-005 Extension without change of a currently approved collection 1994-12-28 Approved without change
199411-1212-003 No material or nonsubstantive change to a currently approved collection 1994-11-08 Approved with change
199111-1212-001 New collection (Request for a new OMB Control Number) 1991-11-13 Approved without change