Special Financial Assistance by PBGC

ICR 202211-1212-003

OMB: 1212-0074

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0074 can be found here:

2025-03-19 - No material or nonsubstantive change to a currently approved collection
2024-07-03 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form SFA Lock-In Applic Lock-In Application Form and Instruction	Unchanged
Form SFA Filing Instruc Notice of reinstatement Form and Instruction	Modified
Form SFA 300 Annual Statement of Compliance Form and Instruction	Modified
Form SFA 201 Application for Special Financial Assistance Form and Instruction	Modified
Special Financial Assistance ICR (2023 Renewal) Supporting Statement.08.docx Supporting Statement A	2022-11-29
Assumptions Guidance, 01 FORMATTED.pdf Supplementary Document	2022-11-28

IC Document Collections

IC ID	Document Title	Status
254199	Lock-In Application Form and Instruction	Unchanged
247988	Requests for determination	Modified
247977	Notice of reinstatement Form and Instruction	Modified
247976	Annual Statement of Compliance Form and Instruction	Modified
247975	Application for Special Financial Assistance Form and Instruction	Modified

ICR Details

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