Reportable Events

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0013 can be found here:

Documents and Forms

Document Name Document Type
Form 10-ADVANCE Reportable Events Form
10-ADVANCE Advance Notice of Reportable Events 10_A.pdf www.pbgc.gov/docs/10_A.pdf Form
10 Post-event notice of Reportable Events 10.pdf www.pbgc.gov/docs/10.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reportable Events	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-ADVANCE	Advance Notice of Reportable Events	10_A.pdf	http://www.pbgc.gov/docs/10_A.pdf	Yes	Yes	Printable Only
Form	10	Post-event notice of Reportable Events	10.pdf	http://www.pbgc.gov/docs/10.pdf	Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 705	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Previously Approved
Annual Number of Responses for this IC	705	705
Annual IC Time Burden (Hours)	2,974	2,974
Annual IC Cost Burden (Dollars)	817,000	817,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.