Termination Premium

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 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form T Form T and instructions Form and Instruction
Termination Premium Supporting Statement 2023 renewal.02.docx Supporting Statement A
Form T and instructions Form and Instruction

All Historical Document Collections

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