Reportable Events

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10 Reportable Events	Form	Modified	Available
Form 10 & 10 ADV_SupStmt_2012 ROLLOVER_to OMB.pdf	Supporting Statement A	Uploaded 2012-02-13	Available
Justification for no material change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-11-10	Available
~$43Tech Update.2012extenx.2OMB.111011.docx	Supplementary Document	Uploaded 2011-11-10	Available
Tech Update 10-4.2OMB.docx	Supplementary Document	Uploaded 2010-11-15	Available
Justification for Reportable Events 2010 Tech Update.11-8-2010.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2010-11-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
13522	Reportable Events	Form	Modified

ICR Details

OMB Control No: 1212-0013	ICR Reference No: 201202-1212-002
Status: Historical Active	Previous ICR Reference No: 201111-1212-001
Agency/Subagency: PBGC	Agency Tracking No:
Title: Reportable Events
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2012
	Date Received in OIRA: 02/15/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2012
Responses	1,026	0	637
Time Burden (Hours)	3,078	0	2,676
Cost Burden (Dollars)	821,826	0	936,600

---

Abstract: Under PBGC regulations implementing 29 CFR Part 4043 of ERISA, plan administrators and contributing sponsors must notify PBGC of certain reportable events. The reporting requirements give PBGC timely notice of events that indicate plan or contributing sponsor financial problems. PBGC uses the information provided in determining what, if any, action it needs to take.

---

Authorizing Statute(s): US Code: 29 USC 1343 Name of Law: ERISA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 76771	12/08/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 7619	02/13/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Reportable Events	10-Advance, 10	Post-Event Notice of Reportable Events ,   Advance Notice of Reportable Events

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,026	637	0	0	389	0
Annual Time Burden (Hours)	3,078	2,676	0	0	402	0
Annual Cost Burden (Dollars)	821,826	936,600	0	0	-114,774	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The adjustments in responses, burden and cost are the result of an increase in the number of expected filings based upon PBGC's experience in the last three years, and a decreased estimate (based on a small survey of practitioners) in the hourly contracting rate from $350 for all plans to $320 for large plans and $130 for small plans. In addition, in light of the small number of advance-report filings, PBGC combined the data for post-event reporting and advance reporting.

---

Annual Cost to Federal Government: $121,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/15/2012

---