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Annual Information Return/Report
Annual Information Return/Report
OMB: 1210-0110
IC ID: 13467
OMB.report
DOL/EBSA
OMB 1210-0110
ICR 200807-1210-003
IC 13467
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0110 can be found here:
2024-04-02 - No material or nonsubstantive change to a currently approved collection
2023-12-18 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5500
Annual Information Return/Report
Form and Instruction
2007Form5500DraftInstructions.pdf
Instruction
5500 2009 Form 5500 and Instructions
Form_5500_and_Schedules.pdf
Form and Instruction
5500 2007 Form 5500
75500.pdf
Form
5500 2007 Form 5500 Schedule A
75500a.pdf
Form
5500 2007 Form 5500 Schedule B
75500b.pdf
Form
5500 2007 Form 5500 Schedule C
75500c.pdf
Form
5500 2007 Form 5500 Schedule D
75500d.pdf
Form
5500 2007 Form 5500 Schedule E
75500e.pdf
Form
5500 2007 Form 5500 Schedule EZ
75500ez.pdf
Form
5500 2007 Form 5500 Schedule G
75500g.pdf
Form
5500 2007 Form 5500 Schedule H
75500h.pdf
Form
5500 2007 Form 5500 Schedule I
75500i.pdf
Form
5500 2007 Form 5500 Schedule R
75500r.pdf
Form
5500 2007 Form 5500 Schedule SSA
75500ssa.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Information Return/Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5500
2009 Form 5500 and Instructions
Form_5500_and_Schedules.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500
75500.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule A
75500a.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule B
75500b.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule C
75500c.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule D
75500d.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule E
75500e.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule EZ
75500ez.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule G
75500g.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule H
75500h.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule I
75500i.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule R
75500r.pdf
Yes
Yes
Fillable Fileable
Form
5500
2007 Form 5500 Schedule SSA
75500ssa.pdf
Yes
Yes
Fillable Fileable
Instruction
2007Form5500DraftInstructions.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
780,000
Number of Respondents for Small Entity:
630,000
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
1 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
780,000
0
0
0
0
780,000
Annual IC Time Burden (Hours)
521,000
-15,000
0
0
0
536,000
Annual IC Cost Burden (Dollars)
190,000,000
-5,000,000
0
0
0
195,000,000
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.