Information Collection

Reportable Events

IC 13521 under ICR 200301-1212-001 · OMB 1212-0013.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Reportable Events

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10				Yes	Yes
Form	10-ADVANCE				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 537

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	537	232	305
Annual IC Time Burden (Hours)	2,260	1,011	1,249
Annual IC Cost Burden (Dollars)	452,000	265,000	187,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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