Information Collection Request

Annual Return/Report of Employee Benefit Plan

ICR 201703-1545-012 · OMB 1545-1610 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5500 Annual Return/Report of Employee Benefit Plan Form Modified Available
Form 5500-SUP Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information Form Unchanged Available
Justification for nonmaterial nonsubstantive change.doc Justification for No Material/Nonsubstantive Change Uploaded 2017-03-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
40957 Annual Return/Report of Employee Benefit Plan Form Modified
215776 Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information Form Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2019 10/31/2019 10/31/2019
828,500 0 806,500
338,208 0 320,208
137,129,000 0 120,611,000





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 828,500 806,500 0 0 22,000 0
Annual Time Burden (Hours) 338,208 320,208 0 0 18,000 0
Annual Cost Burden (Dollars) 137,129,000 120,611,000 0 0 16,518,000 0


Reginfo record details
  No