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Duties of Plan Sponsor Following Mass Withdrawal (29 CFR Part 4281)
 
No Modified
 
Mandatory
 
29 CFR 4281

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 001 Notice of Insolvency Ppsd.Notice of Insolvency 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 002 Notice of Insolvency Benefit Level Ppsd.Notice of Insolvency Benefit Level 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 003 Combined NOI and NOIBL Ppsd.Combined NOI and NOIBL 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 004 Application for Financial Assistance - Initial Ppsd.Application for Financial Assistance Initial 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form 005 Application for Financial Assistance - Recurring Ppsd.Application for Fin Assistance Recurring 7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Instruction Ppsd.Terminated Insolvent Reg Instructions.7-11-18.pdf https://efilingportal.pbgc.gov/site/ Yes No Printable Only

General Government Executive Functions

 

55 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 13,826 0 -153,721 0 0 167,547
Annual IC Time Burden (Hours) 240 0 -1,060 0 0 1,300
Annual IC Cost Burden (Dollars) 370,400 0 -245,000 0 0 615,400

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