Annual Information Return/Report

Annual Information Return/Report

OMB: 1212-0057

IC ID: 13607

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Other-Proposed Changes To Participat
Other-Proposed Changes To Participat
Other-Other Proposed Changes to 2022
Other-Other Proposed Changes to 2022
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Annual Information Return/Report
 
No Modified
 
Mandatory
 
29 CFR 4065

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 2021 Form 5500 Instructions Clean (003).docx Yes Yes Fillable Fileable
Instruction 2021 Form 5500SF Instructions Clean.docx Yes Yes Fillable Fileable
Form Form 5500 2021 Form 5500 201209 Form 5500 Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500-SF 2021 Form 5500-SF 201209 Form 5500-SF Clean.docx Yes Yes Fillable Fileable Signable
Form Schedule A 2021 Schedule A 201209 Sch A Clean.docx Yes Yes Fillable Fileable
Form Schedule C 2021 Schedule C 201209 Sch C Clean.docx Yes Yes Fillable Fileable
Form Schedule D 2021 Schedule D 201209 Sch D Clean.docx Yes Yes Fillable Fileable
Form Schedule G 2021 Schedule G 201209 Sch G Clean.docx Yes Yes Fillable Fileable
Form Schedule H 2021 Schedule H 201209 Sch H Clean.docx Yes Yes Fillable Fileable
Form Schedule I 2021 Schedule I 201209 Sch I Clean.docx Yes Yes Fillable Fileable
Form Schedule MB 2021 Schedule MB 201209 Sch MB Clean.docx Yes Yes Fillable Fileable Signable
Form Schedule R 2021 Schedule R 201209 Sch R Clean.docx Yes Yes Fillable Fileable
Form Schedule SB 2021 Schedule SB 201209 Sch SB Clean.docx Yes Yes Fillable Fileable Signable
Form and Instruction Schedule DCG Proposed Schedule DCG (Individual Plan Information) and Instructions Appendix B (Proposed Schedule DCG (Individual Plan Information) and Instructions).docx Yes Yes Fillable Fileable
Form and Instruction Schedule MEP Proposed Schedule MEP (Multiple-Employer Retirement Plan Information) and Instructions Appendix A (Proposed Schedule MEP (Multiple-Employer Retirement Plan Information) and Instructions).docx Yes Yes Fillable Fileable
Other-Proposed Changes To Participating Employer Information under ERISA 103(G) to 2021 Form 5500/Form 5500-SF Instructions Appendix C.docx Yes Yes Fillable Fileable
Other-Other Proposed Changes to 2022 Form 5500, Form 5500-SF, Form 5500-EZ, Schedules and InstructionsNS Appendix E.docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

24,600 17,300
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 24,600 0 0 0 0 24,600
Annual IC Time Burden (Hours) 1,242 0 9 0 0 1,233
Annual IC Cost Burden (Dollars) 1,647,087 0 0 0 0 1,647,087

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