Annual Information Return/Report of Employee Benefit Plan

ICR 201803-1210-004

OMB: 1210-0110

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2018-03-26
Supporting Statement A
2015-08-20
ICR Details
1210-0110 201803-1210-004
Historical Active 201703-1210-001
DOL/EBSA
Annual Information Return/Report of Employee Benefit Plan
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/16/2018
Retrieve Notice of Action (NOA) 03/28/2018
  Inventory as of this Action Requested Previously Approved
08/31/2018 08/31/2018 08/31/2018
838,575 0 833,575
586,765 0 585,765
257,414,600 0 266,094,600

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

US Code: 29 USC 1023 Name of Law: Employee Retirement Income Security Act of 1974
  
None

Not associated with rulemaking

  79 FR 66741 11/10/2014
80 FR 26952 05/11/2015
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 838,575 833,575 0 0 5,000 0
Annual Time Burden (Hours) 586,765 585,765 0 0 1,000 0
Annual Cost Burden (Dollars) 257,414,600 266,094,600 0 0 -8,680,000 0
No
No
The number of filings increased, while the wage rate decreased slightly. The wage rate adjustment results from changes to the Department's methodology for calculating overhead. The net effect of the increase in the number of filings and the decrease in wage rates is a slight increase in the hour burden and a slight decrease in the cost burden.

$6,900,000
No
    No
    No
No
No
No
Uncollected
Allan Beckmann 202 693-8429 [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.
03/28/2018


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