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CSEC Multiple Employer Plan Revision
Annual Information Return/Report
OMB: 1210-0110
IC ID: 211856
OMB.report
DOL/EBSA
OMB 1210-0110
ICR 201503-1210-003
IC 211856
( )
⚠️ Notice: This information collection may be referencing outdated material.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
CSEC Multiple Employer Plan Revision
Form
2014 Form 5500 Instructions - 140716 Clean Draft.doc
Instruction
140716 Clean Form5500SF.doc
Instruction
5500 Annual Return/Report Employee Benefit Plan (CSEC Revisio
140716 Clean Form5500.doc
Form
5500-SF Short Form Annual Return/Report of Small Employee Benefi
140716 Clean Form5500SF.doc
Form
2014 Form 5500 Instructions - 140530 RLSO Draft.doc
Form 5500 Instructions RLSO (CSEC)
IC Document
2014 Form 5500 SF Instructions - 140530 RLSO Draft.doc
Form 5500-SF Instructions RLSO (CSEC)
IC Document
140530 RLSO Form5500.doc
Form 5500 RLSO (CSEC)
IC Document
140530 RLSO Form5500SF.doc
Form 5500-SF (CSEC)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CSEC Multiple Employer Plan Revision
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 2520.103-1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5500
Annual Return/Report Employee Benefit Plan (CSEC Revision)
140716 Clean Form5500.doc
Yes
Yes
Fillable Fileable Signable
Form
5500-SF
Short Form Annual Return/Report of Small Employee Benefit Plan (CSEC Revision)
140716 Clean Form5500SF.doc
Yes
Yes
Fillable Fileable Signable
Instruction
2014 Form 5500 Instructions - 140716 Clean Draft.doc
Yes
Yes
Fillable Fileable Signable
Instruction
140716 Clean Form5500SF.doc
Yes
Yes
Fillable Fileable Signable
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:
5,527
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
5,527
0
0
0
0
5,527
Annual IC Time Burden (Hours)
2,764
0
0
0
0
2,764
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Form 5500 Instructions RLSO (CSEC)
2014 Form 5500 Instructions - 140530 RLSO Draft.doc
03/30/2015
Form 5500-SF Instructions RLSO (CSEC)
2014 Form 5500 SF Instructions - 140530 RLSO Draft.doc
03/30/2015
Form 5500 RLSO (CSEC)
140530 RLSO Form5500.doc
03/30/2015
Form 5500-SF (CSEC)
140530 RLSO Form5500SF.doc
03/30/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.