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Information Collection

Annual Information Return/Report of Employee Benefit Plan

IC 13467 under ICR 202203-1210-005 · OMB 1210-0110.

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Information Collection (IC) Details

View Information Collection (IC)

Annual Information Return/Report of Employee Benefit Plan
 
No Modified
 
Mandatory
 
29 CFR 2520.103-1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form 5500 Annual Return/Report of Employee Benefit Plan 220413 Form 5500-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500-SF Short Form Annual Return/Report of Small Employee Benefit Plan 220413 Form 5500-SF-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule A Insurance Information 220413 Sch A-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule C Service Provider Information 220413 Sch C-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule D DFE/Participating Plan Information 220413 Sch D-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule G Financial Transaction Schedules 220413 Sch G-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule H Financial Information 220413 Sch H-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule I Financial Information--Small Plans 220413 Sch I-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule MB Multiemployer Defined Benefit Plans and Certain Money Purchase Plan Actuarial Information 220413 Sch MB-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule SB Single-Employer Defined Benefit Plan Actuarial Information 220413 Sch SB-Clean.docx Yes Yes Fillable Fileable Signable
Form Form 5500 Schedule R Retirement Plan Information 220413 Sch R-Clean.docx Yes Yes Fillable Fileable Signable
Instruction 2022 Form 5500 Instructions 050622-Clean.docx Yes Yes Fillable Fileable
Instruction 2022 Form 5500SF Instructions 050622-Clean.docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

839,728 682,241
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 839,728 0 0 -1,195 0 840,923
Annual IC Time Burden (Hours) 3,029,299 0 0 -2,350 0 3,031,649
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.