Annual Information Return/Report of Employee Benefit Plan

Annual Information Return/Report of Employee Benefit Plan

OMB: 1210-0110

IC ID: 13467

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Information Collection (IC) Details

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Annual Information Return/Report of Employee Benefit Plan
 
No Modified
 
Mandatory
 
29 CFR 2520.103-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Final Round 2019 Form 5500 Instructions 032019 clean.doc Yes Yes Fillable Fileable
Instruction 2019 Form 5500SF Instructions 031919 clean.doc Yes Yes Fillable Fileable
Form Form 5500 Annual Return/Report of Employee Benefit Plan 190130 Form 5500 clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500-SF Short Form Annual Return/Report of Small Employee Benefit Plan 190130 Form 5500SF clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule A Insurance Information 190130 Sch A clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule C Service Provider Information 190130 Sch C clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule D DFE/Participating Plan Information 190130 Sch D clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule G Financial Transaction Schedules 190130 Sch G clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule H Financial Information 190130 Sch H clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule I Financial Information--Small Plans 190130 Sch I clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule MB Multiemployer Defined Benefit Plans and Certain Money Purchase Plan Actuarial Information 190130 Sch MB clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule SB Single-Employer Defined Benefit Plan Actuarial Information 190130 Sch SB clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule R Retirement Plan Information 190130 Sch R clean.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

804,000 676,000
   
Private Sector 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 804,000 0 0 0 0 804,000
Annual IC Time Burden (Hours) 574,000 0 0 0 0 574,000
Annual IC Cost Burden (Dollars) 254,079,000 0 0 0 0 254,079,000

Title Document Date Uploaded
Form 5500 Instructions (Red Line) Final Round 2019 Form 5500 Instructions 032019.doc 03/21/2019
Form 5500-SF Instructions (Red Line) 2019 Form 5500SF Instructions 031919.doc 03/20/2019
Form 5500 (Red Line) 190130 Form 5500.docx 03/20/2019
Form 5500-SF (Red Line) 190130 Form 5500SF.docx 03/20/2019
Schedule A (Red Line) 190130 Sch A.docx 03/20/2019
Schedule C (Red Line) 190130 Sch C.docx 03/20/2019
Schedule D (Red Line) 190130 Sch D.docx 03/20/2019
Schedule G (Red Line) 190130 Sch G.docx 03/20/2019
Schedule H (Red Line) 190130 Sch H.docx 03/20/2019
Schedule I (Red Line) 190130 Sch I.docx 03/20/2019
Schedule MB (Red Line) 190130 Sch MB.docx 03/20/2019
Schedule SB (Red Line) 190130 Sch SB.docx 03/20/2019
Schedule R (Red Line) 190130 Sch R.docx 03/20/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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