Annual Return/Report of Employee Benefit Plan

OMB Control No: 1545-1610	ICR Reference No: 201105-1545-004
Status: Historical Active	Previous ICR Reference No: 201009-1545-044
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Annual Return/Report of Employee Benefit Plan
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/17/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/08/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	01/31/2014	01/31/2014
Responses	780,000	0	780,335
Time Burden (Hours)	321,000	0	320,028
Cost Burden (Dollars)	102,000,000	0	98,000,000

---

Abstract: Form 5500 is an annual information return filed by employee benefit plans. The IRS uses this information to determine if the plan appears to be operating properly as required under the law or whether the plan should be audited.

---

Authorizing Statute(s): PL: Pub.L. 109 - 280 1 Name of Law: The Pension Protection Act of 2006 (PPA)    US Code: 26 USC 6058 Name of Law: Information required in connection with certain plans of deferred compensation

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 33386	06/11/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 66828	10/29/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Annual Return/Report of Employee Benefit Plan Schedule C, Schedule D, 5500, Schedule A , Sch MB (Form 5500), Schedule G, Schedule H, Schedule I, Schedule R , Sch SB (Form 5500), 5500-SF Annual Return/Report of Employee Benefit Plan ,   Single-Employer Defined Benefit Plan Actuarial Information ,   Short Form Annual Return/Report of Small Employee Bennefit Plan ,   Insurance Information ,   Service Provider Information ,   DFE/Participating Plan Information ,   Financial Transaction Schedules ,   Financial Information ,   Financial Information - Small Plan ,   Retirement Plan Information ,   Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	780,000	780,335	0	0	-335	0
Annual Time Burden (Hours)	321,000	320,028	0	-2,000	2,972	0
Annual Cost Burden (Dollars)	102,000,000	98,000,000	0	4,000,000	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Form 5500 is an annual information return filed by employee benefit plans. EBSA updated the numbers to reflect the most recent filing data and wage rates for service providers that prepare the form. For the IRS, this resulted in a 2,000 hour burden reduction due to a slightly decreased number of filings and a $4,000,000 cost burden increase that reflects increased wage rates. Changes were also made to correct inconsistencies with previous computations; the estimated number of responses is being decreased by 335 and the estimated burden hours are being increased by 2,972 hours.

---

Annual Cost to Federal Government: $3,032,900

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Vikki Vrooman 202 927-9868

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 06/08/2011

---