OMB control number

Notices Following a Substantial Cessation of Operations

OMB 1212-0073 · PBGC.

OMB 1212-0073

Section 4062(e) of the Employee Retirement Income Security Act of 1974 (ERISA) imposes reporting obligations in the event of a “substantial cessation of operations.” This form series is used to fulfill these reporting obligations.

The latest form for Notices Following a Substantial Cessation of Operations expires 2028-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form PBGC Form 4062(e)- Notice of Election under ERISA 4062(e)(4) Form
Form PBGC Form 4062(e)- Notice of Failure to Make Additional Contributions under ERISA 4062(e)(4) Form
Form PBGC Form 4062(e)- Notice of Additional Contributions under ERISA 4062(e)(4) Form
Form PBGC Form 4062(e)- Notice of Section 4062(e) Event Form
4062(e) Supporting Statement 2025.01.docx Supporting Statement A
4062(e) Supporting Statement 2025.01.docx Supporting Statement A
1212-0073 Nonmaterial change 2025.01.docx Justification for No Material/Nonsubstantive Change
1212-0073 Nonmaterial change 2025.01.docx Justification for No Material/Nonsubstantive Change
Notices Following a Substantial Cessation of Operations Form
Notices Following a Substantial Cessation of Operations Form
Notices Following a Substantial Cessation of Operations Form
Notices Following a Substantial Cessation of Operations Form
Notices Following a Substantial Cessation of Operations Instruction

All Historical Document Collections

202506-1212-005	Extension without change of a currently approved collection	2025-06-16
202506-1212-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-06-06
202207-1212-004 Approved without change	Revision of a currently approved collection	2022-07-14
201907-1212-004 Approved with change	New collection (Request for a new OMB Control Number)	2019-07-29