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Annual Information Return/Report
Annual Information Return/Report
OMB: 1212-0057
IC ID: 13607
OMB.report
PBGC
OMB 1212-0057
ICR 201912-1212-001
IC 13607
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0057 can be found here:
2024-04-03 - No material or nonsubstantive change to a currently approved collection
2023-02-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 2020 Schedule R (F
Annual Information Return/Report
Form
2020 Form 5500 Instructions 120619.doc
Instruction
2020 Form 5500SF Instructions 120619.doc
Instruction
5500 2020 Form 5500
191206 Form 5500.docx
Form
5500SF 2020 Form 5500SF
191206 Form 5500SF.docx
Form
2020 Schedule A (F 2020 Schedule A (Form 5500)
191206 Sch A.docx
Form
2020 Schedule C (F 2020 Schedule C (Form 5500)
191206 Sch C.docx
Form
2020 Schedule D (F 2020 Schedule D (Form 5500)
191206 Sch D.docx
Form
2020 Schedule G (F 2020 Schedule G (Form 5500)
191206 Sch G.docx
Form
2020 Schedule H (F 2020 Schedule H (Form 5500)
191206 Sch H.docx
Form
2020 Schedule I (F 2020 Schedule I (Form 5500)
191206 Sch I.docx
Form
2020 Schedule MB ( 2020 Schedule MB (Form 5500)
191206 Sch MB.docx
Form
2020 Schedule R (F 2020 Schedule R (Form 5500)
191206 Sch R.docx
Form
2020 Schedule SB ( 2020 Schedule SB (Form 5500)
191206 Sch SB.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Information Return/Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 4065
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
2020 Schedule R (Form 5500)
2020 Schedule R (Form 5500)
191206 Sch R.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule SB (Form 5500)
2020 Schedule SB (Form 5500)
191206 Sch SB.docx
Yes
Yes
Fillable Fileable Signable
Instruction
2020 Form 5500 Instructions 120619.doc
Yes
Yes
Fillable Fileable Signable
Instruction
2020 Form 5500SF Instructions 120619.doc
Yes
Yes
Fillable Fileable Signable
Form
5500
2020 Form 5500
191206 Form 5500.docx
Yes
Yes
Fillable Fileable Signable
Form
5500SF
2020 Form 5500SF
191206 Form 5500SF.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule A (Form 5500)
2020 Schedule A (Form 5500)
191206 Sch A.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule C (Form 5500)
2020 Schedule C (Form 5500)
191206 Sch C.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule D (Form 5500)
2020 Schedule D (Form 5500)
191206 Sch D.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule G (Form 5500)
2020 Schedule G (Form 5500)
191206 Sch G.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule H (Form 5500)
2020 Schedule H (Form 5500)
191206 Sch H.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule I (Form 5500)
2020 Schedule I (Form 5500)
191206 Sch I.docx
Yes
Yes
Fillable Fileable Signable
Form
2020 Schedule MB (Form 5500)
2020 Schedule MB (Form 5500)
191206 Sch MB.docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
24,800
Number of Respondents for Small Entity:
17,300
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
24,800
0
900
0
0
23,900
Annual IC Time Burden (Hours)
1,200
0
-17
0
0
1,217
Annual IC Cost Burden (Dollars)
1,664,000
0
133,000
0
0
1,531,000
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.