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PREVENT NOTICE
OF REPORTABLE EVENTSPBGC Form 10
Approved OMB #12120013
Expires 12/31/2018This form may be used by a plan administrator or contributing sponsor of a single employer plan when notifying
the
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What is approved omb 1212-0013?
OMB 1212-0013 is the Federal Employee’s Quarterly Performance Pay Certification.
Who is required to file approved omb 1212-0013?
Federal employees are required to file OMB 1212-0013 if they are eligible for performance pay.
How to fill out approved omb 1212-0013?
The OMB 1212-0013 form should be completed by the employee and reviewed by their supervisor.
What is the purpose of approved omb 1212-0013?
The purpose of OMB 1212-0013 is to certify that the employee has met the criteria for performance pay.
What information must be reported on approved omb 1212-0013?
The form requires information on the employee's performance goals, achievements, and supervisor's assessment.
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