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Pension Benefit Guaranty Corporation

Agency prefix 1212 · PBGC · Federal forms and information collections.

Forms

OMB Number	Title
1212-0075	Request for Medical Exception to COVID-19 Vaccination Requirement
1212-0074	Special Financial Assistance by PBGC-Withdrawal Liability Condition Exception
1212-0073	Notices Following a Substantial Cessation of Operations
1212-0072	Request for Coverage Determination
1212-0071	Survey of Multiemployer Pension Plan Withdrawal Liability Information
1212-0070	Treatment of Substantial Cessation of Operations
1212-0069	Missing Participants
1212-0068	Partitions of Eligible Multiemployer Plans; 29 CFR Part 4233
1212-0067	Data to Study Multiemployer Plan Guaranty Program
1212-0066	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
1212-0065	Disclosure of Termination Information
1212-0064	Termination Premium
1212-0063	Filings for Reconsiderations
1212-0062	Election of Multiemployer Plan Status
1212-0061	Administrative Appeals
1212-0060	Research Survey/Frozen Defined Benefit Plans
1212-0059	Filing, Issuance, Computation of Time, and Record Retention
1212-0058	Customer Satisfaction Surveys
1212-0057	Annual Information Return/Report
1212-0056	Customer Satisfaction Survey for Pension Pracitioners
1212-0055	Locating and Paying Participants
1212-0054	Qualified Domestic Relations Orders submitted to the PBGC
1212-0053	Customer Service Focus Groups and Surveys
1212-0052	Customer Satisfaction Survey
1212-0051	Missing Participants
1212-0050	Disclosure to Participants
1212-0049	Annual Finanical and Actuarial Information Reporting -- 29 CFR Part 4010
1212-0048	Customer Satisfaction Focus Groups for Premium Payers
1212-0047	CUSTOMER SATISFACTION MAIL SURVEYS
1212-0046	Survey of Firms with Significant Pension Plan Underfunding
1212-0045	CUSTOMER SATISFACTION FOCUS GROUP
1212-0044	REDUCTION OR WAIVER OF COMPLETE WITHDRAWAL LIABILITY, REQUESTS FOR PBGC APPROVAL OF MULTIEMPLOYER PLAN AMENDMENT ADOPTING ABATEMENT RULES
1212-0043	CUSTOMER SATISFACTION SURVEY
1212-0041	Notice of Failure to Make Required Contributions
1212-0040	SURVEY OF FIRMS WITH LARGEST PENSION UNDERFUNDING
1212-0039	Reduction or Waiver of Partial Withdrawal Liability -- 29 CFR Part 4208
1212-0036	Terminationof Single Employer Plans
1212-0035	Allocating Unfunded Vested Benefits -- 29 CFR Part 4211
1212-0034	Redetermination of Withdrawal Liability Upon Mass Withdrawal
1212-0033	NOTICE OF INSOLVENCY NOTICE OF INSOLVENCY BENEFIT LEVEL
1212-0032	POWERS AND DUTIES OF PLAN SPONSOR OF PLAN TERMINATED BY MASS WITHDRAWAL: NOTICES OF BENEFIT REDUCTIONS AND SUSPENSIONS
1212-0031	Procedures for PBGC Approval of Plan Amendments -- 29 CFR Part 4220
1212-0030	Survey of Nonparticipating Single-Premium Group Annuity Rates
1212-0029	BENEFIT REDUCTIONS IN TERMINATED SINGLE-EMPLOYER PENSION PLANS AND RECOUPMENT OF BENEFIT OVERPAYMENTS
1212-0026	ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN
1212-0025	NOTICE OF INTENT TO TERMINATE
1212-0024	SUPPLEMENTAL GUARANTEE PROGRAM
1212-0023	EXTENSION OF SPECIAL WITHDRAWAL LIABILITY RULES--PROCEDURES FOR PBGC APPROVAL OF PLAN AMENDMENTS
1212-0022	Mergers and Transfers Between Multiemployer Plans -- 29 CFR Part 4231
1212-0021	VARIANCES FOR SALE OF ASSETS--PROCEDURES FOR INDIVIDUAL AND CLASS VARIANCES OR EXEMPTIONS (29 CFR PART 2463)
1212-0020	Termination of Multiemployer Plans -- 29 CFR Part 4041A
1212-0019	ELECTION OF SINGLE-EMPLOYER PLAN STATUS
1212-0018	DETERMINATION OF PLAN SUFFICIENCY AND TERMINATION OF SUFFICIENT PLANS 29 CFR 2617
1212-0017	Liability on Termination of or Withdrawal from a Single-Employer Plan
1212-0016	PBGC AUDIENCE SURVEY
1212-0013	REPORTING AND NOTIFICATION REQUIREMENTS FOR REPORTABLE EVENTS (29 CFR 2617)
1212-0012	NOTICE OF INTENT TO TERMINATE
1212-0011	AUDIT VERTIFICATION QUESTIONNAIRE
1212-0009	PREMIUM PAYMENT PACAKAGE