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Federal forms, ICRs, and supporting documents

Information Collection Request

Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits

ICR 202509-1545-002 · OMB 1545-2187 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 8955-SSA Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Form Modified Repair queued
Form 8955-SSA Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Form Modified Repair queued
[EXT] OMB Control No. 1545-2187 .pdf Public Comments Uploaded 2025-10-15 Repair queued
2025 SS 1545-2187.docx Supporting Statement A Uploaded 2025-10-16 Available
2025 SS 1545-2187.docx Supporting Statement A Uploaded 2025-10-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
194025 Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Form ModifiedAnnual Registration Statement Identifying Separated Participants With Deferred Vested Benefits
194025 Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Form Modified
194025 Form 8955-SSA, Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits Instruction Modified
ICR Details
1545-2187 202509-1545-002
Active 202206-1545-007
TREAS/IRS
Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits
Extension without change of a currently approved collection   No
Regular
Approved without change 01/26/2026
Retrieve Notice of Action (NOA) 10/31/2025
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 01/31/2026
200,000 0 200,000
166,000 0 166,000
0 0 0
In 2007, the Department of Labor (DOL) published a final rule requiring plans subject to the annual reporting requirements of Title I of Employee Retirement Income Security Act (ERISA) to electronically file the Form 5500, Annual Return/Report of Employee Benefit. In order to accommodate the DOL's mandate for electronic filing of the Form 5500 series, Schedule (SSA) has been eliminated and replaced with Form 8955-SSA. The information provided by plan sponsors on Form 8955-SSA will be transmitted to the Social Security Administration (SSA) who will provide it to separated participants when those participants file for social security benefits.
US Code: 26 USC 6057 Name of Law: Annual registration, etc.
  
None
Not associated with rulemaking
  90 FR 40893 08/21/2025
90 FR 48961 10/31/2025
Yes
  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 200,000 200,000 0 0 0 0
Annual Time Burden (Hours) 166,000 166,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$21,888
No
    Yes
    Yes
No
No
No
No
Vikki Vrooman 202 317-5884
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/31/2025