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 is listed under ICR 202603-1212-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
PBGC Practical Guide draft 03092026 clean.docxSupplementary 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