OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reportable Events

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

Documents and Forms
Document Name
Document Type
Form
Form
Form
Other-Screenshots
Other-Screenshots
Instruction
Instruction
Instruction
Instruction
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Reportable Events
 
No Modified
 
Mandatory
 
29 CFR 4043

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form 10 Post-Event Notice of Reportable Events 2024 Form 10.pdf Yes Yes Fillable Fileable Signable
Form Form 10-Advance Advance Notice of Reportable Events 2024 Form 10-Advance.pdf Yes Yes Fillable Fileable Signable
Other-Screenshots eFiling Portal User Guide_Reportable Events.pdf Yes Yes Fillable Fileable Signable
Instruction Updated Dec 2025 Form 10 Instructions.pdf Yes Yes Fillable Fileable Signable
Instruction Updated Dec 2025 Form 10-Advance Instructions.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

438 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 438 0 0 0 0 438
Annual IC Time Burden (Hours) 1,377 0 0 0 0 1,377
Annual IC Cost Burden (Dollars) 326,310 0 0 0 0 326,310

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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