Annual Return/Report of Employee Benefit Plan

Forms and Documents

Document Name	Status
Form 5500 Annual Return/Report of Employee Benefit Plan Form	Modified
Form 5500-SUP Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information Form	Unchanged
Justification of non material change v2.docx Justification for No Material/Nonsubstantive Change	2018-03-29
IRS 2007-2011, 2013-2018.pdf Supplementary Document	2018-03-26

IC Document Collections

IC ID	Document Title	Status
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

OMB Control No: 1545-1610	ICR Reference No: 201903-1545-022
Status: Historical Active	Previous ICR Reference No: 201803-1545-013
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Annual Return/Report of Employee Benefit Plan
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/26/2019
	Date Received in OIRA: 03/25/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	10/31/2019	10/31/2019
Responses	804,500	0	833,500
Time Burden (Hours)	330,208	0	339,208
Cost Burden (Dollars)	127,898,000	0	132,661,000

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Abstract: Form 5500 is an annual information return filed by employee benefit plans. The IRS uses this information to determine if the plan appears to be operating properly as required under the law or whether the plan should be audited.

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Authorizing Statute(s): US Code: 26 USC 6058 Name of Law: Information required in connection with certain plans of deferred compensation
   PL: Pub.L. 109 - 280 1 Name of Law: The Pension Protection Act of 2006 (PPA)
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 192 430 Name of Law: Pension Relief Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 18687	03/31/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 42794	06/30/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information	5500-SUP	Annual Return of Employee Benefit Plan Supplemental Information
Annual Return/Report of Employee Benefit Plan	5500, Sch C (Form 5500), Sch R (Form 5500), Sch SB (Form 5500) , 5500SF, Sch G (Form 5500), Sch H (Form 5500), Sch I (Form 5500), Sch MB (Form 5500), Sch A (Form 5500), Sch D (Form 5500)	Annual Return/Report of Employee Benefit Plan ,   Short Form Annual Return/Report of Small Employee Benefit Plan ,   Insurance Information ,   Service Provider Information ,   DFE/Participating Plan Information ,   Financial Transaction Schedules ,   Financial Information ,   Financial Information—Small Plan ,   Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information ,   Retirement Plan Information ,   Single-Employer Defined Benefit Plan Actuarial Information

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ICR Summary 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	804,500	833,500	0	0	-29,000	0
Annual Time Burden (Hours)	330,208	339,208	0	0	-9,000	0
Annual Cost Burden (Dollars)	127,898,000	132,661,000	0	0	-4,763,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Form 5500 is a Tri-Agency form shared between Department of Labor OMB Control Number 1210-0110, Pension Benefit Guaranty Corporation (PBGC) OMB Control Number 1212-0057 and Internal Revenue Service OMB Control Number 1545-1610. Since this is a Tri-Agency form, the three agencies coordinate the information collection submissions by March 30, 2018 to OMB in order to maximize the information available to OMB. The number of filings decreased, while the wage rate increased. The wage rate adjustment results from changes to the Department's methodology for calculating overhead. The net effect of the decrease in the number of filings and the increase in wage rates is a decrease in the hour burden and a decrease in the cost burden.

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Annual Cost to Federal Government: $5,250,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/25/2019

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