OMB control number

Qualified Domestic Relations Orders submitted to PBGC

OMB 1212-0054 · PBGC.

OMB 1212-0054

PBGC needs the information contained in qualified domestic relations orders (QDROs) in order to provide benefits to alternate payees in compliance with the requirements of Title I of ERISA. An alternate payee is required to provide this information in order to obtain benefits.

The latest form for Qualified Domestic Relations Orders submitted to PBGC expires 2028-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
PBGC Practical Guide draft 03092026 clean.docx Supplementary Document
QDRO Graphic 03052026.pdf (document unavailable) Supplementary Document
Justification for Nonmaterial Change_2026 QDRO Practical Guide.03.docx (document unavailable) Justification for No Material/Nonsubstantive Change
2025 Justification Nonmaterial Change Documentation for qdrov.02.docx (document unavailable) Justification for No Material/Nonsubstantive Change
2024 PBGC Supporting Statement QDRO v.5.docx (document unavailable) Supporting Statement A
Qualified Domestic Relations Orders submitted to PBGC Instruction

All Historical Document Collections

202603-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2026-03-09
202502-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-02-26
202411-1212-001	Revision of a currently approved collection	2024-11-20
202112-1212-004 Approved without change	Revision of a currently approved collection	2021-12-16
201811-1212-005 Approved without change	Extension without change of a currently approved collection	2018-11-15
201510-1212-002 Approved with change	Revision of a currently approved collection	2015-10-26
201208-1212-002 Approved without change	Revision of a currently approved collection	2012-08-24
200907-1212-001 Approved without change	Extension without change of a currently approved collection	2009-07-28
200606-1212-001 Approved with change	Extension without change of a currently approved collection	2006-06-08
200310-1212-003 Approved without change	Extension without change of a currently approved collection	2003-10-29
200006-1212-001 Approved without change	Extension without change of a currently approved collection	2000-06-23
199702-1212-001 Approved without change	Extension without change of a currently approved collection	1997-02-20
199609-1212-001 Approved without change	New collection (Request for a new OMB Control Number)	1996-09-09