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⚠️ Notice: This information collection may be referencing outdated material.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 Reportable Events Form
Form 10 Instr._Markup for 2009_(3 yr rollover)_to OMB.pdf Instruction
Form 10 ADV Instr._Markup for 2009_(3 yr rollover)_to OMB.pdf Instruction
10 Post-Event Notice of Reportable Events Form 10.pdf Form
Form 10-Advance Advance Notice of Reportable Event Form 10 ADV.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: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10	Post-Event Notice of Reportable Events	Form 10.pdf	Yes	Yes	Paper Only
Instruction			Form 10 Instr._Markup for 2009_(3 yr rollover)_to OMB.pdf	Yes	Yes	Paper Only
Form	Form 10-Advance	Advance Notice of Reportable Event	Form 10 ADV.pdf	Yes	Yes	Paper Only
Instruction			Form 10 ADV Instr._Markup for 2009_(3 yr rollover)_to OMB.pdf	Yes	Yes	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 637	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	637	-68	705
Annual IC Time Burden (Hours)	2,676	-298	2,974
Annual IC Cost Burden (Dollars)	936,600	119,600	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.