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/template-1.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 202 https://www.pbgc.gov/sites/default/files/sfa/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 205-B https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-5b.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA 206-B https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-6b.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 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 209 https://www.pbgc.gov/sites/default/files/sfa/part-4262-final-rule-template-9.xlsx Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum A Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum C Yes Yes Fillable Fileable
Form and Instruction SFA Filing Instructions, Addendum D 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 PBGC E-filing Portal Yes Yes Fillable Fileable
Form and Instruction SFA Application Amendment Cover Letter https://www.pbgc.gov/documents/sfa-application-amendment-cover-letter Yes Yes Fillable Fileable
Form and Instruction Model Plan Amendment Compliance https://www.pbgc.gov/sites/default/files/documents/model-plan-amendment-compliance.docx Yes Yes Fillable Fileable
Form and Instruction Model Plan Amendment, Reinstatement https://www.pbgc.gov/sites/default/files/documents/model-plan-amendment-reinstatement.docx Yes Yes Fillable Fileable
Form and Instruction Model Certification https://www.pbgc.gov/sites/default/files/documents/model-certification-plan-sponsor-reinstatement.docx Yes Yes Fillable Fileable
Instruction https://www.pbgc.gov/sites/default/files/sfa/sfa-filing-instructions.pdf Yes Yes Fillable Fileable
Form and Instruction SFA Template 10 https://www.pbgc.gov/documents/pre-2021-zone-certification-baseline-details-and-final-sfa-assumption-summaries Yes Yes Fillable Fileable
Form and Instruction SFA 100 https://www.pbgc.gov/arp-sfa/more-resources Yes Yes Fillable Fileable

Income Security General Retirement and Disability

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

45 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 45 0 0 0 0 45
Annual IC Time Burden (Hours) 540 0 0 0 0 540
Annual IC Cost Burden (Dollars) 1,530,000 0 0 0 0 1,530,000

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