Survey of Multiemployer Pension Plan Withdrawal Liability Information

OMB 1212-0071

PBGC is proposing to collect information about withdrawal liability that is owed by withdrawn employers of terminated and insolvent multiemployer pension plans. PBGC needs information about withdrawal liability to estimate with more precision its liabilities under the multiemployer program and to provide financial assistance to plans.

The latest form for Survey of Multiemployer Pension Plan Withdrawal Liability Information expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Supporting Statement Part B Withdrawal Liability Survey 2021.docx Supporting Statement B
withdrawal liability survey supporting statement 2021.02.docx Supporting Statement A
Survey of Multiemployer Pension Plan Withdrawal Liability Information Other-Survey Template

All Historical Document Collections

202109-1212-009 Approved without change	Revision of a currently approved collection	2021-09-16
201808-1212-001 Approved with change	New collection (Request for a new OMB Control Number)	2018-08-28