Information Collection

CSEC Multiple Employer Plan Revision

IC 211856 under ICR 201503-1210-003 · OMB 1210-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0110 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,527	5,527
Annual IC Time Burden (Hours)	2,764	2,764
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.