Annual Information Return/Report of Employee Benefit Plan

OMB: 1210-0110

IC ID: 13467

⚠️ Notice: This information collection may be referencing outdated material.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 Form 5500 Schedule Annual Information Return/Report of Employee Benefit Plan Form
2015 Form 5500 Instructions - 150320 Clean Draft.doc Instruction
2015 Form 5500 SF Instructions - 150320 Clean Draft.doc Instruction
Form 5500 Annual Return/Report of Employee Benefit Plan 150123 Clean Form5500.doc Form
Form 5500-SF Short Form Annual Return/Report of Small Employee Benefi 150123 Clean Form5500SF.doc Form
Form 5500 Schedule Insurance Information 150123 Clean SchA.doc Form
Form 5500 Schedule Service Provider Information 150123 Clean SchC.doc Form
Form 5500 Schedule DFE/Participating Plan Information 150123 Clean SchD.doc Form
Form 5500 Schedule Financial Transaction Schedules 150123 Clean SchG.doc Form
Form 5500 Schedule Financial Information 150123 Clean SchH.doc Form
Form 5500 Schedule Financial Information--Small Plans 150123 Clean SchI.doc Form
Form 5500 Schedule Multiemployer Defined Benefit Plans and Certain Money Pu 150128 Clean SchMB.doc Form
Form 5500 Schedule Single-Employer Defined Benefit Plan Actuarial Informati 150123 Clean SchSB.doc Form
Form 5500 Schedule Retirement Plan Information 150123 Clean SchR.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Information Return/Report of Employee Benefit Plan	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 5500 Schedule SB	Single-Employer Defined Benefit Plan Actuarial Information	150123 Clean SchSB.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule R	Retirement Plan Information	150123 Clean SchR.doc	Yes	Yes	Fillable Fileable Signable
Instruction			2015 Form 5500 Instructions - 150320 Clean Draft.doc	Yes	Yes	Fillable Fileable
Instruction			2015 Form 5500 SF Instructions - 150320 Clean Draft.doc	Yes	Yes	Fillable Fileable
Form	Form 5500	Annual Return/Report of Employee Benefit Plan	150123 Clean Form5500.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500-SF	Short Form Annual Return/Report of Small Employee Benefit Plan	150123 Clean Form5500SF.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule A	Insurance Information	150123 Clean SchA.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule C	Service Provider Information	150123 Clean SchC.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule D	DFE/Participating Plan Information	150123 Clean SchD.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule G	Financial Transaction Schedules	150123 Clean SchG.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule H	Financial Information	150123 Clean SchH.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule I	Financial Information--Small Plans	150123 Clean SchI.doc	Yes	Yes	Fillable Fileable Signable
Form	Form 5500 Schedule MB	Multiemployer Defined Benefit Plans and Certain Money Purchase Plan Actuarial Information	150128 Clean SchMB.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: 822,000	Number of Respondents for Small Entity: 668,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	822,000	822,000
Annual IC Time Burden (Hours)	579,000	579,000
Annual IC Cost Burden (Dollars)	229,368,000	229,368,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.