Annual Information Return/Report of Employee Benefit Plan

ICR 202003-1210-001

OMB: 1210-0110

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2020-03-20
Supporting Statement A
2018-08-15
IC Document Collections
ICR Details
1210-0110 202003-1210-001
Active 201910-1210-002
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 04/03/2020
Retrieve Notice of Action (NOA) 03/27/2020
  Inventory as of this Action Requested Previously Approved
11/30/2021 11/30/2021 11/30/2021
814,000 0 804,000
582,000 0 574,000
278,555,000 0 254,079,000

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

  83 FR 15635 04/11/2018
83 FR 46191 08/31/2018
No

1
IC Title Form No. Form Name
Annual Information Return/Report of Employee Benefit Plan Form 5500-SF, Form 5500 Schedule R, Form 5500, Form 5500 Schedule A, Form 5500 Schedule C, Form 5500 Schedule I, Form 5500 Schedule MB, Form 5500 Schedule SB, Form 5500 Schedule G, Form 5500 Schedule H, Form 5500 Schedule D 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 Plans ,   Multiemployer Defined Benefit Plans and Certain Money Purchase Plan Actuarial Information ,   Single-Employer Defined Benefit Plan Actuarial Information ,   Retirement Plan Information

  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 814,000 804,000 0 0 10,000 0
Annual Time Burden (Hours) 582,000 574,000 0 0 8,000 0
Annual Cost Burden (Dollars) 278,555,000 254,079,000 0 0 24,476,000 0
No
No
Burden has increased due to updated agency estimates of the number of plans and labor rates.

$6,100,000
No
    No
    No
No
No
No
Uncollected
James Butikofer 202 693-8434 [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.
03/27/2020


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