Model Certificatio Model Certification

Special Financial Assistance by PBGC

model-certification-plan-sponsor-reinstatement

Application for Special Financial Assistance

OMB: 1212-0074

⚠️ Notice: This form may be outdated. More recent filings and information on 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

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