Reportable Events

Forms and Documents

Document Name	Status
Form 10-Advance Reportable Events Form	Unchanged
4043Tech Update 2013.2OMB011713.docx Supplementary Document	2013-01-17
Justification for no material change.docx Justification for No Material/Nonsubstantive Change	2012-10-18
No material change stmt_RE_burden hr. adjustment_to OMB.pdf Justification for No Material/Nonsubstantive Change	2012-04-19
Form 10 & 10 ADV_SupStmt_2012 ROLLOVER_to OMB.pdf Supporting Statement A	2012-02-13
Justification for no material change.docx Justification for No Material/Nonsubstantive Change	2011-11-10
~$43Tech Update.2012extenx.2OMB.111011.docx Supplementary Document	2011-11-10
Tech Update 10-4.2OMB.docx Supplementary Document	2010-11-15
Justification for Reportable Events 2010 Tech Update.11-8-2010.pdf Justification for No Material/Nonsubstantive Change	2010-11-08

IC Document Collections

IC ID	Document Title	Status
13522	Reportable Events Form	Unchanged

ICR Details

OMB Control No: 1212-0013	ICR Reference No: 201210-1212-001
Status: Historical Active	Previous ICR Reference No: 201204-1212-002
Agency/Subagency: PBGC	Agency Tracking No:
Title: Reportable Events
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2013
	Date Received in OIRA: 10/18/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	03/31/2015	03/31/2015
Responses	1,026	0	1,026
Time Burden (Hours)	5,400	0	5,400
Cost Burden (Dollars)	821,826	0	821,826

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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.

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

Citations for New Statutory Requirements: None

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

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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

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

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

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ICR Summary 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	1,026	0	0	0	0
Annual Time Burden (Hours)	5,400	5,400	0	0	0	0
Annual Cost Burden (Dollars)	821,826	821,826	0	0	0	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 adjustment in burden is to correct a data-entry error in the previous submission.

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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

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Common Form ICR:  No

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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: 10/18/2012

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