Annual Information Return/Report

ICR 201305-1210-002

OMB: 1210-0110

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supporting Statement A
2013-02-01
ICR Details
1210-0110 201305-1210-002
Historical Active 201203-1210-005
DOL/EBSA
Annual Information Return/Report
Revision of a currently approved collection   No
Regular
Approved without change 05/10/2013
Retrieve Notice of Action (NOA) 05/10/2013
  Inventory as of this Action Requested Previously Approved
05/31/2016 36 Months From Approved 03/31/2014
780,048 0 780,000
520,001 0 520,000
184,021,600 0 184,000,000

Section 104 and 4065 of ERISA require plan administrators to file an annual report containing the information described in section 103 of ERISA. The Form 5500 provides a standard format for fulfilling that requirement.

US Code: 29 USC 1023 Name of Law: Employee Retirement Income Security Act of 1974
  
PL: Pub.L. 109 - 280 1103(b) Name of Law: Pension Protection Act of 2006

1210-AB12 Final or interim final rulemaking 78 FR 13781 03/01/2013

Yes

  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 780,048 780,000 0 48 0 0
Annual Time Burden (Hours) 520,001 520,000 0 1 0 0
Annual Cost Burden (Dollars) 184,021,600 184,000,000 0 21,600 0 0
Yes
Changing Regulations
No
For the 2013 revision, the Departments estimate that affected entities would spend 1 minute per entity and $450 to comply with the requirements.

$6,550,000
No
No
No
No
No
Uncollected
Chris Cosby 202 693-8540

  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.
02/03/2013


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