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Annual Information Return/Report of Employee Benefit Plan
Annual Information Return/Report of Employee Benefit Plan
OMB: 1210-0110
IC ID: 13467
OMB.report
DOL/EBSA
OMB 1210-0110
ICR 202312-1210-005
IC 13467
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0110 can be found here:
2024-04-02 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form 5500
Annual Information Return/Report of Employee Benefit Plan
Form
Form 5500 Annual Return/Report of Employee Benefit Plan
230127 Form 5500-Clean.docx
Form
Form 5500-SF Short Form Annual Return/Report of Small Employee Benefit Plan
230127 Form 5500-SF-Clean.docx
Form
Form 5500 Schedule A Insurance Information
230127 Sch A-Clean.docx
Form
Form 5500 Schedule C Service Provider Information
230127 Sch C-Clean.docx
Form
Form 5500 Schedule D DFE/Participating Plan Information
230127 Sch D-Clean.docx
Form
Form 5500 Schedule G Financial Transaction Schedules
230127 Sch G-Clean.docx
Form
Form 5500 Schedule H Financial Information
230127 Sch H-Clean.docx
Form
Form 5500 Schedule I Financial Information--Small Plans
230127 Sch I-Clean.docx
Form
Form 5500 Schedule MB Multiemployer Defined Benefit Plans and Certain Money Purchase Plan Actuarial Information
230127 Sch MB-Clean.docx
Form
Form 5500 Schedule SB Single-Employer Defined Benefit Plan Actuarial Information
230127 Sch SB-Clean.docx
Form
Form 5500 Schedule R Retirement Plan Information
230127 Sch R-Clean.docx
Form
2023 Form 5500 Instructions 070723 update 12-14-23.docx
Instruction
2023 Form 5500SF Instructions 070723 update 12-14-23.docx
Instruction
Form 5500 Schedule DCG Individual Plan Information
230127 Sch DCG-Clean.docx
Form
Form 5500 Schedule MEP Multiple-Employer Retirement Plan Information
230127 Sch MEP-Clean.docx
Form
5500 PLESA Code Question.docx
Other- 5500 PLESA Code Question
Information Collection (IC) Details
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