OMB control number
Administrative Appeals
OMB 1212-0061 · PBGC.
PBGC’s regulation on Rules for Administrative Review of Agency Decisions (29 CFR part 4003) prescribes rules governing the issuance of initial determinations by PBGC and the procedures for requesting and obtaining administrative review of initial determinations. Certain types of initial determinations are subject to administrative appeals, which are covered in subpart D of the regulation. Subpart D prescribes rules on who may file appeals, when and where to file appeals, contents of appeals, and other matters relating to appeals. Under § 4003.54, an appeal must: (1) be in writing; (2) be clearly designated as an appeal; (3) specifically explain why PBGC’s determination is wrong and the result the appellant is seeking; (4) describe the relevant information the appellant believes is known by PBGC, and summarize any other information the appellant believes is relevant; (5) state whether the appellant desires to appear in person or through a representative before the Appeals Board; and (6) state whether the appellant desires to present witnesses to testify before the Appeals Board, and if so, state why the presence of witnesses will further the decision-making process. Under the regulation, where the appellant believes that another person may be aggrieved if PBGC grants the relief sought, the appeal must include the name(s) and address(es) (if known) of such other person(s).
The latest form for Administrative Appeals expires 2028-07-31 and can be found here.
Document Name |
|---|
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supporting Statement A |
| Revision of a currently approved collection | 2025-06-16 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-11-22 | |
|
Approved without change |
Revision of a currently approved collection | 2022-06-08 | |
|
Approved with change |
Revision of a currently approved collection | 2019-05-30 | |
|
Approved without change |
Extension without change of a currently approved collection | 2016-05-09 | |
|
Approved without change |
Extension without change of a currently approved collection | 2013-02-28 | |
|
Approved without change |
Revision of a currently approved collection | 2010-02-18 | |
|
Approved without change |
Existing collection in use without an OMB Control Number | 2006-12-07 |