ANNUAL RETURN/REPORT OF EMPLOYMEE BENEFIT PLANS

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
121459	ANNUAL RETURN/REPORT OF EMPLOYMEE BENEFIT PLANS Form	Migrated

ICR Details

OMB Control No: 1210-0016	ICR Reference No: 198802-1210-001
Status: Historical Active	Previous ICR Reference No: 198711-1210-001
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: ANNUAL RETURN/REPORT OF EMPLOYMEE BENEFIT PLANS
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/1988
	Date Received in OIRA: 02/23/1988
Terms of Clearance: The "Annual Return/Report of Employee Benefit Plans (Form 5500 Series)" is approved through January 1991, subject to the following terms and conditions: 1. The data elements in the Form 5500 Series will be revised as specified in the clearance letter from J. Howard Beales, OMB, to Roger Cooper, Department of the Treasury, dated April 8, 1988. 2. The Schedule B, as revised and submitted by the Pension Benefit Guaranty Corporation on April 21, 1988, is approved. 3. In future requests for Paperwork Reduction Act approval of the Form 5500 Series, OMB requests that the Department of Labor, Internal Revenue Service, and PBGC use a common basis and methodology for estimating the paperwork burden of these reporting requirements. 4. OMB does not agree with the Department of Labor's assessment of a 105,200 hour program change decrease for its portion of the data collection. OMB has determined that 80,183 hours of this burden reduction is actually an adjustment, and has revised the burden inventory accordingly. OMB will consider any additional justification for the original assessment that the Department wishes to provide, however.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/1991	01/31/1991	11/30/1990
Responses	900,000	0	901,400
Time Burden (Hours)	953,637	0	1,107,088
Cost Burden (Dollars)	0	0	0

---

Abstract: SECTION 104(A)(1)(A) OF ERISA REQUIRES PLAN ADMINISTRATORS TO FILE AN ANNUAL REPORT CONTAINING THE INFORMATION DESCRIBED IN SECTION 103 OF ERISA. THE FORM 5500 SERIES PROVIDES A STANDARD FORMAT FOR FULFILLING THAT REQUIREMENT.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ANNUAL RETURN/REPORT OF EMPLOYMEE BENEFIT PLANS	5500, 5500C, 5500R

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	900,000	901,400	0	-228	-1,172	0
Annual Time Burden (Hours)	953,637	1,107,088	0	-25,017	-128,434	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/1988

---