ANNUAL REPORT OF EMPLOYEE BENEFIT PLANS

ICR 199406-1212-004

OMB: 1212-0026

Federal Form Document

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
168340 Migrated
ICR Details
1212-0026 199406-1212-004
Historical Active 199112-1212-002
PBGC
ANNUAL REPORT OF EMPLOYEE BENEFIT PLANS
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/29/1994
Approved with change 06/29/1994
Retrieve Notice of Action (NOA) 06/29/1994
  Inventory as of this Action Requested Previously Approved
10/31/1994 10/31/1994 07/31/1994
146,524 0 146,524
31,164 0 31,164
0 0 0

SECTION 4065 OF ERISA REQUIRES COVERED DEFINED BENEFIT PLANS TO FILE A ANNUAL REPORT CONTAINING CERTAIN INFORMATION. THE FORM 5500 SERIES PROVIDES A STANDARD FORMAT FOR FULFILLING THIS REQUIREMENT.

None
None


No

1
IC Title Form No. Form Name
ANNUAL REPORT OF EMPLOYEE BENEFIT PLANS 5500

  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 146,524 146,524 0 0 0 0
Annual Time Burden (Hours) 31,164 31,164 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/29/1994


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