Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits

Forms and Documents

Document	Type	Status	Availability
Form 8955-SSA Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits	Form and Instruction	New	Available
SS_1545-NEW_Form 8955-SSA REV.doc	Supporting Statement A	Uploaded 2010-08-18	Available
Expiration Explanation.rtf	Supplementary Document	Uploaded 2010-08-13	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
194025	Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits	Form and Instruction	New

ICR Details

OMB Control No: 1545-2187	ICR Reference No: 201007-1545-064
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No: ah-XXXX-064
Title: Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 08/20/2010
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/20/2010
	Date Received in OIRA: 08/18/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	6 Months From Approved
Responses	200,000	0	0
Time Burden (Hours)	166,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In 2007, the Department of Labor (DOL) published a final rule requiring plans subject to the annual reporting requirements of Title I of Employee Retirement Income Security Act (ERISA) to electronically file the Form 5500, Annual Return/Report of Employee Benefit. In order to accommodate the DOL's mandate for electronic filing of the Form 5500 series, Schedule (SSA) has been eliminated and replaced with Form 8955-SSA. The information provided by plan sponsors on Form 8955-SSA will be transmitted to the Social Security Administration (SSA) who will provide it to separated participants when those participants file for social security benefits.

Emergency Justfication: Section 6057(a) of the Internal Revenue Code (IRC) requires administrator of a plan that is subject to the vesting standards of section 203 of the Employee Retirement Income Security Act of 1974 (ERISA), to report information relating to each plan participant with a deferred vested benefit. In the past, Schedule SSA (Form 5500) was used to collect this information. However, due to Department of Labor's (DOL) electronic filing mandate, the Schedule which was required by the IRC 6057(a) was removed from the Form 5500 series and is being replaced by standalone Form 8955-SSA. For plan years beginning on or after January 2009, the Form 8955-SSA must be used to comply with the reporting requirement of IRC Section 6057(a). The IRS will no longer accept Schedule SSA (Form 5500) that is filed for a 2009 or later plan year. The general due date for filing Form 8955-SSA is the last day of the seventh month following the last day of that plan year. It is urgent that the new Form 8955-SSA be available to plan administrators as we past the due date (July 31, 2010) for filing information required by section 6057(a) for calendar year plans for 2009 plan years.

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Authorizing Statute(s): US Code: 26 USC 6057 Name of Law: Annual registration, etc.
  

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

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits	8955-SSA	Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits

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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	200,000	0	0	200,000	0	0
Annual Time Burden (Hours)	166,000	0	0	166,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new form.

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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]? No

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)? No

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: 08/18/2010

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