OMB control number

Reportable Events

OMB 1212-0013 · PBGC.

OMB 1212-0013

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.

The latest form for Reportable Events expires 2027-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form 10 Reportable Events Form
Justification of nonmaterial change_1212-0013 Form 10 and Form 10-A.02.docx Justification for No Material/Nonsubstantive Change
1212-0013 Supporting Statement 2024.03.docx Supporting Statement A
Justification Nonmaterial Change Reportable Events LeapFile.02.docx Justification for No Material/Nonsubstantive Change
Reportable Events Form

All Historical Document Collections

202601-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2026-01-07
202404-1212-001 Approved without change	Revision of a currently approved collection	2024-04-10
202310-1212-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-10-20
202106-1212-001 Approved without change	Revision of a currently approved collection	2021-06-14
201911-1212-002 Approved without change	Revision of a currently approved collection	2020-02-04
201907-1212-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2019-07-16
201810-1212-003 Approved without change	Revision of a currently approved collection	2018-10-12
201509-1212-001 Approved without change	Revision of a currently approved collection	2015-09-11
201503-1212-007 Approved without change	Revision of a currently approved collection	2015-03-30
201302-1212-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2013-04-03
201210-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-10-18
201204-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-04-19
201202-1212-002 Approved without change	Extension without change of a currently approved collection	2012-02-15
201111-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-11-10
201011-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-11-15
200911-1212-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2009-11-25
200910-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-10-27
200904-1212-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-04-17
200901-1212-006 Approved without change	Revision of a currently approved collection	2009-01-29
200812-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-12-22
200803-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-03-20
200712-1212-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-12-06
200711-1212-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-11-19
200512-1212-001 Approved without change	Extension without change of a currently approved collection	2005-12-23
200301-1212-001 Approved without change	Extension without change of a currently approved collection	2003-01-27
199909-1212-002 Approved without change	Extension without change of a currently approved collection	1999-09-03
199607-1212-002 Approved without change	Revision of a currently approved collection	1996-07-23
199505-1212-001 Approved without change	Revision of a currently approved collection	1995-05-10
199212-1212-002 Approved without change	Revision of a currently approved collection	1992-12-24
198912-1212-002 Approved without change	Reinstatement with change of a previously approved collection	1989-12-21
198606-1212-001 Approved without change	Revision of a currently approved collection	1986-06-27
198305-1212-001 Approved without change	Revision of a currently approved collection	1983-05-31
198207-1212-001 Approved without change	Extension without change of a currently approved collection	1982-07-16
198003-1212-001 Approved without change	New collection (Request for a new OMB Control Number)	1980-03-12