Information Collection Request
Annual Financial and Actuarial Information Reporting (29 CFR Part 4010)
ICR 202504-1212-002 · OMB 1212-0049 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0049 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Appendix 1 Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified | Repair queued |
 4010 ICR Supporting Statement 2025.02.docx |
Supporting Statement A | Uploaded 2025-04-08 | Repair queued |
| Justification Nonmaterial Change 4010 instructions.v2.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-01-16 | Repair queued |
| Justification Nonmaterial Change 4010 instructions.v6.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-07-08 | Repair queued |
| Justification Nonmaterial Change 4010 instructions.v1.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-01-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13583 |  Annual Financial and Actuarial Information Reporting (29 CFR Part 4010) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | PBGC |
| OMB Control No | 1212-0049 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202501-1212-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |