Annual Information Return/Report

ICR 201712-1212-004

OMB: 1212-0057

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
13607 Modified
ICR Details
1212-0057 201712-1212-004
Historical Active 201707-1212-003
PBGC
Annual Information Return/Report
Revision of a currently approved collection   No
Regular
Approved without change 03/05/2018
Retrieve Notice of Action (NOA) 01/04/2018
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 08/31/2020
23,900 0 23,700
1,300 0 1,200
1,613,000 0 1,655,000

Sections 104 and 4065 of ERISA require plan administrators to file an annual report. The report must contain the information described in section 103 of ERISA. The Form 5500 Series provides a standard format for fulfilling that requirement.

US Code: 29 USC 1302(b)(3), 1365 Name of Law: ERISA
  
Statute at Large: 120 Stat. 780 Name of Statute: Pension Protection Act of 2006

Not associated with rulemaking

  82 FR 43798 09/19/2017
82 FR 59666 12/15/2017
Yes

  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 23,900 23,700 0 0 200 0
Annual Time Burden (Hours) 1,300 1,200 0 0 100 0
Annual Cost Burden (Dollars) 1,613,000 1,655,000 0 0 -42,000 0
No
No

$0
No
    No
    No
No
No
No
Uncollected
Jo Amato Burns 202-326-4223 ext. 3072 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/04/2018


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