Information Collection

Annual Information Return/Report

IC 13467 under ICR 201004-1210-003 · OMB 1210-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0110 can be found here:

Documents and Forms

Document Name Document Type
Form 2010 Form 5500 and Annual Information Return/Report Form
2009SFInstructions.pdf Instruction
20095500instructions.pdf Instruction
2010Form 5500 No MB SBinstructions.pdf Instruction
2010Form 5500-SFinstructions.pdf Instruction
2010 Schedule SB as of 033110.pdf Instruction
Instructions for Schedule MB 04092010.pdf Instruction
2010 Form 5500 and Annual Return/Report of Employee Benefit Plan and Short 2010 Forms and Schedules.pdf Form
2009 Form 5500-SF Short Form Annual Return/Report of Small Employee 2009 Form_5500_SF_70424 (2).pdf Form
Form 5500 Annual Return/Report of Employee Benefit Plan 2009 Form_5500_and_Schedules.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2010 Form 5500 and 2010 Form 5500-SF	Annual Return/Report of Employee Benefit Plan and Short Form Annual Return/Report of Small Employee	2010 Forms and Schedules.pdf	Yes	Yes	Fillable Fileable
Instruction			2009SFInstructions.pdf	Yes	Yes	Fillable Fileable
Instruction			20095500instructions.pdf	Yes	Yes	Fillable Fileable
Instruction			2010Form 5500 No MB SBinstructions.pdf	Yes	Yes	Fillable Fileable
Instruction			2010Form 5500-SFinstructions.pdf	Yes	Yes	Fillable Fileable
Form	2009 Form 5500-SF	Short Form Annual Return/Report of Small Employee	2009 Form_5500_SF_70424 (2).pdf	Yes	Yes	Fillable Fileable
Form	Form 5500	Annual Return/Report of Employee Benefit Plan	2009 Form_5500_and_Schedules.pdf	Yes	Yes	Fillable Fileable
Instruction			2010 Schedule SB as of 033110.pdf	Yes	Yes	Fillable Printable
Instruction			Instructions for Schedule MB 04092010.pdf	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 780,000	Number of Respondents for Small Entity: 630,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Previously Approved
Annual Number of Responses for this IC	780,000	780,000
Annual IC Time Burden (Hours)	530,000	530,000
Annual IC Cost Burden (Dollars)	178,000,000	178,000,000

Documents for IC

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.