View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Application for Special Financial Assistance
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 4262

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SFA 201 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-1.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 202 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-2.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 203 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-3.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 204-A https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-4a.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 204-B https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-4b.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 205-A https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-5a.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 206-A https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-6a.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 207 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-7.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 208 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-8.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 209 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-9.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 100 https://www.pbgc.gov/sites/default/files/sfa/checklist-general-sfa-application.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 100-Supplemented https://www.pbgc.gov/sites/default/files/sfa/checklist-supplemented-SFA-application.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, General Application https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-general-sfa-application-filing-instructions.pdf Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum A https://www.pbgc.gov/sites/default/files/sfa/addendum-a-engaged-certain-events.pdf Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum C https://www.pbgc.gov/sites/default/files/sfa/addendum-c-ifr-filers-supplemental-application.pdf Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum D https://www.pbgc.gov/sites/default/files/sfa/addendum-d-mpra-plans.pdf Yes Yes Fillable Fileable
Form PBGC E-filing Portal Yes Yes Fillable Fileable
Form and Instruction SFA 205-B Yes Yes Fillable Fileable
Form and Instruction SFA 206-B Yes Yes Fillable Fileable
Form and Instruction Model Plan Amendment, Compliance Yes Yes Fillable Fileable
Form and Instruction Model Plan Amendment, Reinstatement Yes Yes Fillable Fileable
Form and Instruction Model Certification Yes Yes Fillable Fileable

Income Security General Retirement and Disability

PBGC – 19: Office of General Counsel Case Management System  83 FR 6247

78 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 78 0 0 0 0 78
Annual IC Time Burden (Hours) 780 0 0 0 0 780
Annual IC Cost Burden (Dollars) 2,340,000 0 0 0 0 2,340,000

Title Document Date Uploaded
E-Filing Portal Screens 07/08/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.