Annual Return/Report of Employee Benefit Plan

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Sch SB (Form 5500) Single-Employer Defined Benefit Plan Actuarial Information	Form	Modified	Available
Form Sch R (Form 5500) Retirement Plan Information	Form	Modified	Available
Form Sch MB (Form 5500) Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information	Form	Modified	Available
Form Sch I (Form 5500) Financial Information—Small Plan	Form	Modified	Available
Form Sch H (Form 5500) Financial Information	Form	Modified	Available
Form Sch G (Form 5500) Financial Transaction Schedules	Form	Modified	Available
Form Sch D (Form 5500) DFE/Participating Plan Information	Form	Modified	Available
Form Sch C (Form 5500) Service Provider Information	Form	Modified	Available
Form Sch A (Form 5500) Insurance Information	Form	Modified	Available
Form 5500SF Short Form Annual Return/Report of Small Employee Benefit Plan	Form	Modified	Available
Form 5500 Annual Return/Report of Employee Benefit Plan	Form	Modified	Available
Form 5500-SUP Annual Return of Employee Benefit Plan Supplemental Information	Form	New	Available
IRS Responses 1545-1610.docx	Supplementary Document	Uploaded 2016-02-29	Available
Copy of List of Comments Received_30DAY_1545-1610.pdf	Supplementary Document	Uploaded 2016-02-29	Available
IRS Response to 5500-SUP Comments - OMB clearance process 11-18-15.docx	Supplementary Document	Uploaded 2015-11-19	Available
List of Comments Received_30DAY_1545-1610_REV_061115.xlsx	Supplementary Document	Uploaded 2015-11-19	Available
1545-1610_Notice_70FR77088_23DEC14.pdf	Supplementary Document	Uploaded 2015-04-02	Available
Supporting Statement_OMB comments 1545-1610.doc	Supporting Statement A	Uploaded 2016-02-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Single-Employer Defined Benefit Plan Actuarial Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Retirement Plan Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Information—Small Plan
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Financial Transaction Schedules
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	DFE/Participating Plan Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Service Provider Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Insurance Information
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Short Form Annual Return/Report of Small Employee Benefit Plan
40957	Annual Return/Report of Employee Benefit Plan	Form	Modified	Annual Return/Report of Employee Benefit Plan
40957	Annual Return/Report of Employee Benefit Plan	Instruction	Modified
215776	Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information	Form	New	Annual Return of Employee Benefit Plan Supplemental Information
215776	Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information	Instruction	New

ICR Details

OMB Control No: 1545-1610	ICR Reference No: 201503-1545-020
Status: Historical Active	Previous ICR Reference No: 201401-1545-001
Agency/Subagency: TREAS/IRS	Agency Tracking No: Ready
Title: Annual Return/Report of Employee Benefit Plan
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/10/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/11/2015
Terms of Clearance: OMB approves the collection with the following terms of clearance: Treasury/IRS must coordinate approval of any future renewal or revision to this collection with DOL and PBGC. Treasury, DOL and PBGC should seek approval of any revisions or renewals at the same time, so as to minimize any confusion to the public.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	05/31/2017
Responses	822,500	0	786,000
Time Burden (Hours)	340,208	0	319,000
Cost Burden (Dollars)	112,088,000	0	112,088,000

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Abstract: Form 5500 is an annual information return filed by employee benefit plans. The IRS uses this information to determine if the plan appears to be operating properly as required under the law or whether the plan should be audited.

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Authorizing Statute(s): US Code: 26 USC 6058 Name of Law: Information required in connection with certain plans of deferred compensation
   PL: Pub.L. 109 - 280 1 Name of Law: The Pension Protection Act of 2006 (PPA)
  

Citations for New Statutory Requirements: US Code: 26 USC 6058 Name of Law: Information required in connection with certain plans of deferred compensation

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 77088	12/23/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 26638	05/08/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Annual Return/Report of Employee Benefit Plan	Sch A (Form 5500), Sch D (Form 5500), Sch R (Form 5500), Sch SB (Form 5500) , 5500SF, 5500, Sch C (Form 5500), Sch G (Form 5500), Sch H (Form 5500), Sch I (Form 5500), Sch MB (Form 5500)	Annual Return/Report of Employee Benefit Plan ,   Short Form Annual Return/Report of Small Employee Benefit Plan ,   Insurance Information ,   Service Provider Information ,   DFE/Participating Plan Information ,   Financial Transaction Schedules ,   Financial Information ,   Financial Information—Small Plan ,   Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information ,   Retirement Plan Information ,   Single-Employer Defined Benefit Plan Actuarial Information
Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information	5500-SUP	Annual Return of Employee Benefit Plan Supplemental Information

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ICR Summary of Burden

table that charts list of burden

	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	822,500	786,000	500	0	36,000	0
Annual Time Burden (Hours)	340,208	319,000	208	0	21,000	0
Annual Cost Burden (Dollars)	112,088,000	112,088,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: PBGC, the Department of Labor (DOL), and the Internal Revenue Service (IRS) work together to produce the Form 5500 Annual Return/Report for Employee Benefit Plan and Form 5500–SF Short Form Annual Return/Report for Small Employee Benefit Plan (Form 5500 Series), through which the regulated public can satisfy the combined reporting/filing requirements applicable to employee benefit plans. The 2015 changes, as outlined in the notice dated December 23, 2014, (79 FR 77088), will generate and increase in burden by 21,000 hours and increase the estimated number of responses by 36,000 per year. Form 5500-SUP is a paper-only form filed with the IRS that is used by the sponsors and administrators of retirement plans to satisfy the reporting requirements of section 6058. Form 5500-SUP should only be used if certain IRS compliance questions are not answered electronically on the Form 5500 or Form 5500-SF. The creation of Form 5500-SUP, may create a new paper filing requirement. The paper submission of this form will increase the estimated number of responses by 500 and the estimated annual burden by 208 hours.

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Annual Cost to Federal Government: $3,032,900

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/11/2015

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