OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Termination Premium

OMB 1212-0064 ยท PBGC.

OMB 1212-0064

In certain cases where a PBGC-insured pension plan terminates in a distress or involuntary termination, the plan sponsors and members of their controlled groups must pay the termination premium to PBGC for three years under 29 USC 1307 and 29 CFR Part 4007, which also requires retention and production of records necessary to support premium payments. The information in this collection identifies the plan and sponsor group and lets PBGC verify premium computations. The retained records facilitate audits.

The latest form for Termination Premium expires 2029-03-31 and is listed under ICR 202601-1212-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 1 Form TForm and Instruction
Termination Premium Supporting Statement_v.2.docxSupporting Statement A
Termination Premium Supporting Statement_v.2.docxSupporting Statement A
Justification for Nonmaterial Change_Termination Premium.02.docxJustification for No Material/Nonsubstantive Change
Justification for Nonmaterial Change_Termination Premium.02.docx Justification for No Material/Nonsubstantive Change
Form T and instructions Form and Instruction
Form T and instructions Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-1212-003 Extension without change of a currently approved collection 2026-01-12 Approved without change
202507-1212-001 No material or nonsubstantive change to a currently approved collection 2025-07-31
202302-1212-001 Revision of a currently approved collection 2023-02-17 Approved without change
202003-1212-001 Revision of a currently approved collection 2020-03-13 Approved with change
201807-1212-003 No material or nonsubstantive change to a currently approved collection 2018-07-19 Approved without change
201701-1212-001 Extension without change of a currently approved collection 2017-01-31 Approved without change
201309-1212-001 Revision of a currently approved collection 2013-11-18 Approved without change
201003-1212-002 Extension without change of a currently approved collection 2010-09-07 Approved without change
200710-1212-001 New collection (Request for a new OMB Control Number) 2007-10-22 Approved without change
200611-1212-002 New collection (Request for a new OMB Control Number) 2007-02-20 Comment filed on proposed rule