Information Collection Request

Annual Return/Report of Employee Benefit Plan

ICR 202004-1545-006 · OMB 1545-1610 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Sch SB (Form 5500) Single-Employer Defined Benefit Plan Actuarial Information Form Modified Available
Form Sch R (Form 5500) Retirement Plan Information Form Modified Available
Form Sch MB (Form 5500) Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information Form Modified Repair queued
Form Sch I (Form 5500) Financial Information—Small Plan Form Modified Repair queued
Form Sch H (Form 5500) Financial Information Form Modified Available
Form Sch G (Form 5500) Financial Transaction Schedules Form Modified Available
Form Sch D (Form 5500) DFE/Participating Plan Information Form Modified Available
Form Sch C (Form 5500) Service Provider Information Form Modified Available
Form Sch A (Form 5500) Insurance Information Form Modified Available
Form 5500SF Short Form Annual Return/Report of Small Employee Benefit Plan Form Modified Available
Form 5500 Annual Return/Report of Employee Benefit Plan Form Modified Available
Form 5500-EZ Annual Return of A One-Participant (Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan Form Modified Available
Form 5500-SUP Annual Return of Employee Benefit Plan Supplemental Information Form Unchanged Available
1545-1610 Supporting Statement 2020-02-27.docx Supporting Statement A Uploaded 2020-03-18 Available
Justification for Nonmaterial Nonsubstantive Change 3-18-20.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-04-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedSingle-Employer Defined Benefit Plan Actuarial Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedRetirement Plan Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedMultiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedFinancial Information—Small Plan
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedFinancial Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedFinancial Transaction Schedules
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedDFE/Participating Plan Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedService Provider Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedInsurance Information
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedShort Form Annual Return/Report of Small Employee Benefit Plan
40957 Annual Return/Report of Employee Benefit Plan Form ModifiedAnnual Return/Report of Employee Benefit Plan
40957 Annual Return/Report of Employee Benefit Plan Instruction Modified
240785 Form 5500-EZ Paper Submissions Form ModifiedAnnual Return of A One-Participant (Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan
240785 Form 5500-EZ Paper Submissions Instruction Modified
215776 Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information Form UnchangedAnnual Return of Employee Benefit Plan Supplemental Information
215776 Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2023 03/31/2023 03/31/2023
916,500 0 916,500
930,908 0 930,908
139,007,000 0 139,007,000





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Annual Return/Report of Employee Benefit Plan Sch C (Form 5500), 5500, Sch A (Form 5500), Sch D (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) ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Form 5500-EZ Paper Submissions 5500-EZ
Form 5500-SUP - Annual Return of Employee Benefit Plan Supplemental Information 5500-SUP

table that charts list 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 916,500 916,500 0 0 0 0
Annual Time Burden (Hours) 930,908 930,908 0 0 0 0
Annual Cost Burden (Dollars) 139,007,000 139,007,000 0 0 0 0


Reginfo record details
  No