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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 Form 1 Notice of Insolvency Benefit Level Final.NOIBL_05082019.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 2 Notice of Insolvency Final.NOI_05082019.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 3 Application for Financial Assistance - Initial Final.FA Initial_05082019.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form Form 4 Application for Financial Assistance - Recurring Final.FA Recurring_05082019.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Form and Instruction Form 5 Combined Notice of Insolvency and Notice of Insolvency Benefit Level Final.Combined NOI and NOIBL 05082019.pdf https://efilingportal.pbgc.gov/site/ Yes Yes Fillable Fileable Signable
Instruction Final.Terminated Insolvent Reg Instructions.5-7-19.pdf https://efilingportal.pbgc.gov/site/ Yes No Printable Only

General Government Executive Functions

 

50 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Approved 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 13,850 0 -153,697 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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