View Information Collection (IC)

View Information Collection (IC)

IC Title:	Reportable Events	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10	Post-Event Notice of Reportable Events	Form 10_2012 ROLLOVER_to OMB.pdf	http://www.pbgc.gov/documents/10.pdf	Yes	Yes	Fillable Fileable
Instruction			Form 10 Instr._2012 ROLLOVER_to OMB.pdf		Yes	Yes	Printable Only
Form	10-Advance	Advance Notice of Reportable Events	Form 10 ADV_2012 ROLLOVER_to OMB.pdf	http://www.pbgc.gov/Documents/10_A.pdf	Yes	Yes	Fillable Fileable
Instruction			Form 10 ADV Instr._2012 ROLLOVER_to OMB.pdf		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,026	Number of Respondents for Small Entity: 286

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

Percentage of Respondents Reporting Electronically: 55 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,026	0	0	0	0	1,026
Annual IC Time Burden (Hours)	5,400	0	0	0	0	5,400
Annual IC Cost Burden (Dollars)	821,826	0	0	0	0	821,826

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.