Information Collection Request
Annual Information Return/Report
ICR 202403-1212-004 · OMB 1212-0057 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1212-0057 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Form 5500 Annual Information Return/Report |
Form | Modified | Repair queued |
| Form Form 5500 Annual Information Return/Report |
Form | Modified | Repair queued |
 2024 Justification Nonmaterial Change Documentation for Form 5500 v.05.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-03 | Repair queued |
| 2024 Justification Nonmaterial Change Documentation for Form 5500 v.05.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-03 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 13607 |  Annual Information Return/Report |
Form | Modified | |
| 13607 | Annual Information Return/Report |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | PBGC |
| OMB Control No | 1212-0057 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202302-1212-003 |
| Date Submitted to OIRA | 2024-04-03 |
| Requested Expiration Date | 1969-12-31 |