Multiple Employer Welfare Arrangements Revisions of Form 5500

Annual Information Return/Report

OMB: 1210-0110

IC ID: 205399

Information Collection (IC) Details

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Multiple Employer Welfare Arrangements Revisions of Form 5500
 
No Unchanged
 
Mandatory
 
29 CFR 2520.103-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form 5500 Annual Return/Report of Employee Benefit Plans MEWA Final Rule FRN.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

48 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 48 0 0 0 0 48
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 21,600 0 0 0 0 21,600

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