View Information Collection (IC)
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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Termination of Single Employer Plans
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4041
29 CFR 4050
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
PBGC Form 500
Standard Termination Notice Single-Employer Plan Termination
PBGC Form 500 -- 2007.pdf
Yes
No
Printable Only
Instruction
Standard Termination Instructions 2007.pdf
Yes
No
Printable Only
Form
PBGC Form 501
Post-Distribution Certification for Standard Termination
PBGC Form 501 -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Schedule REP-S
Standard Termination Designation of Representative
PBGC Schedule REP-S -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Schedule EA-S
Standard Termination Certification of Sufficiency
PBGC Schedule EA-S -- 2007.pdf
Yes
No
Printable Only
Instruction
Distress Termination Instructions 2007.pdf
Yes
No
Printable Only
Form
PBGC Form 600
Distress Terminaton Notice of Intent to Terminate
PBGC Form 600 -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Schedule REP-D
Distress Termination Designation of Representative
PBGC Schedule REP-D -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Form 601
Distress Termination Notice Single-Employer Plan Termination
PBGC Form 601 -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Schedule EA-D
Distress Termination Enrolled Actuary Certification
PBGC Schedule EA-D -- 2007.pdf
Yes
No
Printable Only
Form
PBGC Form 602
Post-Distribution Certification for Distress Termination
PBGC Form 602 -- 2007.pdf
Yes
No
Printable Only
Instruction
Missing Participants Instructions -- 2007.pdf
Yes
No
Printable Only
Form
Schedule MP
Missing Participant Information
Schedule MP -- 2007.pdf
Yes
No
Printable Only
Form
Attachment A (to Schedule MP)
Missing Participant Annuity Purchase Information
Missing Participants Attachment A -- 2007.pdf
Yes
No
Printable Only
Form
Attachment B (to Schedule MP)
Missing Participant Individual Information
Missing Participants Attachment B -- 2007.pdf
Yes
No
Printable Only
Form
Payment Voucher (to Schedule MP)
Missing Participant Payment Voucher
Missing Participant Payment Voucher -- 2007.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,259
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
1,259
0
0
0
0
1,259
Annual IC Time Burden (Hours)
2,081
0
0
0
0
2,081
Annual IC Cost Burden (Dollars)
2,766,679
0
0
0
0
2,766,679
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.