Annual Return/Report of Employee Benefit Plan

Annual Return/Report of Employee Benefit Plan

OMB: 1545-1610

IC ID: 40957

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Annual Return/Report of Employee Benefit Plan
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Schedule A Insurance Information 111118 Clean SchA.doc Yes Yes Fillable Fileable
Form Schedule C Service Provider Information 111118 Clean SchC.doc Yes Yes Fillable Fileable
Form Schedule D DFE/Participating Plan Information 111118 Clean SchD.doc Yes Yes Fillable Fileable
Form Schedule G Financial Transaction Schedules 111118 Clean SchG.doc Yes Yes Fillable Fileable
Form Schedule H Financial Information 111118 Clean SchH.doc Yes Yes Fillable Fileable
Form Schedule I Financial Information - Small Plan 111118 Clean SchI.doc Yes Yes Fillable Fileable
Form Schedule R Retirement Plan Information 111118 Clean SchR.doc Yes Yes Fillable Fileable
Form Sch MB (Form 5500) Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information 111118 Clean SchMB.doc Yes Yes Fillable Fileable
Instruction Instructions for Schedule MB 04092010.pdf Yes No Printable Only
Form 5500 Annual Return/Report of Employee Benefit Plan 111118 Clean Form5500.doc Yes Yes Fillable Fileable
Form Sch SB (Form 5500) Single-Employer Defined Benefit Plan Actuarial Information 111118 Clean SchSB.doc Yes Yes Fillable Fileable
Instruction 2010 Schedule SB as of 033110.pdf Yes No Printable Only
Form 5500-SF Short Form Annual Return/Report of Small Employee Bennefit Plan Form_5500-SF.doc Yes Yes Fillable Fileable
Instruction 2012 Form 5500 SF Instructions - 111123 Clean Draft.doc Yes No Printable Only
Instruction 2012 Form 5500 Instructions - 111123 Clean Draft.doc No   Paper Only

General Government Taxation Management

 

780,000 0
   
Private Sector Businesses or other for-profits
 
   99 %

  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) 358,601 0 37,601 0 0 321,000
Annual IC Cost Burden (Dollars) 102,000,000 0 0 0 0 102,000,000

Title Document Date Uploaded
2011 Burden Estimate Form 5500-Final-ROCIS numbers 05032011.xls 05/10/2011
2012 Change to burden IRS change 2012.xlsx 12/02/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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