View Information Collection (IC)

View Information Collection (IC)

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form 10 Instr _2015 Rollover2OMB.doc		Yes	Yes	Fillable Fileable
Form	Form 10	Post-Event Notice of Reportable Events	Form 10 Revised2OMB.docx		Yes	Yes	Fillable Fileable
Form	Form 10-A	Advance Notice of Reportable Events	Form 10-A Revised_FINAL.docx		Yes	Yes	Fillable Fileable
Instruction			Form 10 ADV Instr _2015 ROLLOVER2OMB_REVISED_5.1.25.doc		Yes	Yes	Fillable Fileable

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: 868	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	868	0	0	-158	0	1,026
Annual IC Time Burden (Hours)	4,500	0	0	-900	0	5,400
Annual IC Cost Burden (Dollars)	214,470	0	0	-607,356	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.