Information Collection

Annual Information Return/Report

IC 13607 under ICR 202211-1212-001 · OMB 1212-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0057 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Schedule R Annual Information Return/Report	Form
2023Form 5500 Instructions 063022-Updated for OMB Review 1107222 v.01.docx	Instruction
2023Form 5500 Instructions 063022-Updated for OMB Review 1107222 v.01.docx	Instruction
Schedule R 2023 Schedule R 2023 220912 Sch R.PBGCEdits110722 v.01.docx	Form
Schedule R 2023 Schedule R 2023 220912 Sch R.PBGCEdits110722 v.01.docx	Form
Schedule SB 2023 Schedule SB 2023 220912 Sch SB.PBGCEdits110722 v.01.docx	Form
Schedule SB 2023 Schedule SB 2023 220912 Sch SB.PBGCEdits110722 v.01.docx	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Schedule R	2023 Schedule R	2023 220912 Sch R.PBGCEdits110722 v.01.docx	Yes	Yes	Fillable Fileable
Form	Schedule SB	2023 Schedule SB	2023 220912 Sch SB.PBGCEdits110722 v.01.docx	Yes	Yes	Fillable Fileable
Instruction			2023Form 5500 Instructions 063022-Updated for OMB Review 1107222 v.01.docx	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,000

Number of Respondents for Small Entity: 17,400

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,000	0	25,000
Annual IC Time Burden (Hours)	15,089	-2,654	17,743
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.