Information Collection

Reportabale Events

IC 13522 under ICR 200512-1212-001 · 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:

Reportabale 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-ADVANCE				Yes	Yes
Form	10				Yes	Yes

Line of Business:

Subfunction:

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	705	168	537
Annual IC Time Burden (Hours)	2,974	714	2,260
Annual IC Cost Burden (Dollars)	817,000	365,000	452,000

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.