Information Collection

Reportable Events

IC 13522 under ICR 202601-1212-002 · OMB 1212-0013.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 10 Reportable Events	Form
Form Form 10 Post-Event Notice of Reportable Events Reportable Events	Form
Form Form 10-Advance Advance Notice of Reportable Events Reportable Events	Form
eFiling Portal User Guide_Reportable Events.pdf	Other-Screenshots
eFiling Portal User Guide_Reportable Events.pdf	Other-Screenshots
Updated Dec 2025 Form 10 Instructions.pdf	Instruction
Updated Dec 2025 Form 10 Instructions.pdf	Instruction
Updated Dec 2025 Form 10-Advance Instructions.pdf	Instruction
Updated Dec 2025 Form 10-Advance Instructions.pdf	Instruction
Form 10 Post-Event Notice of Reportable Events 2024 Form 10.pdf	Form
Form 10 Post-Event Notice of Reportable Events 2024 Form 10.pdf	Form
Form 10-Advance Advance Notice of Reportable Events 2024 Form 10-Advance.pdf	Form
Form 10-Advance Advance Notice of Reportable Events 2024 Form 10-Advance.pdf	Form

IC Title:

Reportable Events

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 4043

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 10	Yes	Yes	Fillable Fileable Signable
Form	Form 10-Advance	Yes	Yes	Fillable Fileable Signable
Other-Screenshots		Yes	Yes	Fillable Fileable Signable
Instruction		Yes	Yes	Fillable Fileable Signable
Instruction		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 438

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	438	438
Annual IC Time Burden (Hours)	1,377	1,377
Annual IC Cost Burden (Dollars)	326,310	326,310

Documents for IC

table that charts IC Documents
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.

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