Annual Return/Report of Employee Benefit Plan

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5500 Annual Return/Report of Employee Benefit Plan	Form	Modified	Available
Form 5500 and schedules Annual Return/Report of Employee Benefit Plan	Form	Modified	Available
Form Schedule SSA Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits	Form	Modified	Available
Form Schedule R Retirement Plan Information	Form	Modified	Available
Form Schedule I Financial Information - Small Plan	Form	Modified	Available
Form Schedule H Financial Information	Form	Modified	Available
Form Schedule G Financial Transaction Schedules	Form	Modified	Available
Form Schedule E ESOP Annual Information	Form	Modified	Available
Form Schedule D DFE/Participating Plan Information	Form	Modified	Available
Form Schedule C Service Provider Information	Form	Modified	Available
Form Schedule B Actuarial Information	Form	Modified	Available
Form Schedule A Insurance Information	Form	Modified	Available
Final Rules 4-17-07 - RIA 5-4-2007.doc	Supplementary Document	Uploaded 2007-05-29	Available
Forms Revision Notice 042307ppb postbc - PRA 5-3-2007.doc	Supplementary Document	Uploaded 2007-05-29	Available
Form 5500 - PRA numbers 2007 to 2009.xls	Justification for No Material/Nonsubstantive Change	Uploaded 2007-05-29	Available
supporting statement.doc	Supporting Statement A	Uploaded 2007-05-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Annual Return/Report of Employee Benefit Plan
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Annual Return/Report of Employee Benefit Plan
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Retirement Plan Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Information - Small Plan
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Transaction Schedules
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	ESOP Annual Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	DFE/Participating Plan Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Service Provider Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Actuarial Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Insurance Information
40957	Annual Return/Report of Employee Benefit Plan	Instruction	Modified

ICR Details

OMB Control No: 1545-1610	ICR Reference No: 200705-1545-065
Status: Historical Active	Previous ICR Reference No: 200606-1545-052
Agency/Subagency: TREAS/IRS	Agency Tracking No: JD
Title: Annual Return/Report of Employee Benefit Plan
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: 10/02/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/15/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved	09/30/2007
Responses	1,139,244	0	1,139,244
Time Burden (Hours)	2,173,483	0	3,698,269
Cost Burden (Dollars)	0	0	0

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Abstract: Form 5500 is an annual information return filed by employee benefit plans. The IRS uses this information to determine if the plan appears to be operating properly as required under the law or whether the plan should be audited.

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Authorizing Statute(s): US Code: 26 USC 6058 Name of Law: Information required in connection with certain plans of deferred compensation
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 13861	03/23/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 32707	06/13/2007
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Annual Return/Report of Employee Benefit Plan	Schedule SSA , 5500, Schedule A , 5500 and schedules, Schedule E, Schedule G, Schedule H, Schedule I, Schedule R , Schedule C, Schedule D, Schedule B	Insurance Information ,   Actuarial Information ,   Service Provider Information ,   DFE/Participating Plan Information ,   ESOP Annual Information ,   Financial Transaction Schedules ,   Financial Information ,   Financial Information - Small Plan ,   Retirement Plan Information ,   Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits ,   Annual Return/Report of Employee Benefit Plan ,   Annual Return/Report of Employee Benefit Plan

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ICR Summary of Burden

table that charts list 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	1,139,244	1,139,244	0	0	0	0
Annual Time Burden (Hours)	2,173,483	3,698,269	0	-1,524,786	0	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: Miscellaneous Actions

Short Statement: Burden has decreased by 1,524,786 hours as a result of a change in burden methodology. The IRS has adapted the burden figured provided by DOL to ensure consistency in burden computation.

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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

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Common Form ICR:  No

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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: 06/15/2007

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