Administrative Appeals

OMB 1212-0061

OMB 1212-0061

The PBGC’s regulation on Rules for Administrative Review of Agency Decisions prescribes rules governing the issuance of initial determinations by the PBGC and the procedures for requesting and obtaining administrative review of initial determinations. For those types of initial determinations subject to administrative appeals, the regulation prescribes rules on who may file appeals, when and where to file appeals, contents of appeals, and other matters relating to appeals. Most appeals filed with the PBGC are filed by individuals (participants, beneficiaries, and alternate payees) in connection with benefit entitlement or amounts. A small number of appeals are filed by employers in connection with other matters, such as plan coverage or employer liability. Appeals may be filed by hand, mail, commercial delivery service, fax or e-mail. For appeals of benefit determinations, the PBGC has developed new optional forms for filing appeals and requests for extensions of time to appeal.

The latest form for Administrative Appeals expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Supplementary Document
Supplementary Document
Justification for No Material/Nonsubstantive Change
Justification for No Material/Nonsubstantive Change
Supporting Statement A
Supporting Statement A
OMB Details

Administrative Appeals (Individuals)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form 724Appeal of a PBGC Benefit Determinationwww.pbgc.gov/documents/e724.pdfForm and instruction
Form 723Request for Additional Time to File an Appeal to a PBGC Benefit Determinationwww.pbgc.gov/documents/e723.pdfForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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