Annual Information Return/Report

Annual Information Return/Report

OMB: 1212-0057

IC ID: 13607

Information Collection (IC) Details

View Information Collection (IC)

Annual Information Return/Report
 
No Modified
 
Mandatory
 
29 CFR 4065

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2017 Form 5500 2017 Annual Return/Report of Employee Benefit Plan (Clean) 170203 Clean Form 5500.pdf Yes Yes Fillable Fileable Signable
Form 2017 Form 5500-SF 2017 Short Form Annual Return/Report of Small Employee Benefit Plan (Clean) 170203 Clean Form 5500SF.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule A (Form 5500) 2017 Schedule A (Form 5500) - Insurance Information (Clean) 170203 Clean Sch A.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule C (Form 5500) 2017 Schedule C (Form 5500) - Service Provider Information (Clean) 170203 Clean Sch C.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule D (Form 5500) 2017 Schedule D (Form 5500) - DFE/Participating Plan Information (Clean) 170203 Clean Sch D.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule G (Form 5500) 2017 Schedule G (Form 5500) - Financial Transaction Schedules (Clean) 170203 Clean Sch G.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule H (Form 5500) 2017 Schedule H (Form 5500) - Financial Information (Clean) 170203 Clean Sch H.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule I (Form 5500) 2017 Schedule I (Form 5500) - Financial Information - Small Plan (Clean) 170203 Clean Sch I.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule MB (Form 5500) 2017 Schedule MB (Form 5500) - Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information (Clean) 170203 Clean Sch MB.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule R (Form 5500) 2017 Schedule R (Form 55) - Retirement Plan Information (Clean) 170203 Clean Sch MB.pdf Yes Yes Fillable Fileable Signable
Form 2017 Schedule SB (Form 5500) 2017 Schedule SB (Form 5500) - Single-Employer Defined Benefit Plan Actuarial Information (Clean) 170203 Clean Sch SB.pdf Yes Yes Fillable Fileable Signable
Instruction 2017 Form 5500 Instructions CLEAN 032317.pdf Yes No Printable Only
Instruction 2017 Form 5500SF Instruction CLEAN 032317.pdf Yes No Printable Only

Income Security General Retirement and Disability

 

23,700 17,300
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 23,700 0 0 0 0 23,700
Annual IC Time Burden (Hours) 1,200 0 0 15 0 1,185
Annual IC Cost Burden (Dollars) 1,655,000 0 0 0 0 1,655,000

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

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