Annual Report

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
13323	Annual Report Form	Migrated

ICR Details

OMB Control No: 1210-0016	ICR Reference No: 199602-1210-001
Status: Historical Active	Previous ICR Reference No: 199408-1210-003
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Annual Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 02/06/1996
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/07/1996
	Date Received in OIRA: 02/01/1996
Terms of Clearance: Approved through May 7, 1996, pursuant to the emergency clearance procedures of 5 CFR 1320.13; DOL addendum of 2/1/96 and comments of 2/6/96 accepted. Upon full submission to OMB under PRA 1995, DOL shall address the following issues: (1) employer's abuse rate for employee contributions among small plans and (2) cost burden on small plans to implement the required change. It is noted that OMB considers this change to be interim until the public is given opportunity to comment and subsequent OMB action on the DOL resubmission. In addition, we note that this issue will be reviewed in the context of resolution of related regulations about the definition of plan assets; participant contributions. Last, we note that DOL instituted this change without any advance public comment; future emergency submissions must seek comment in advance unless comment is specifically waived by OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1996	05/31/1996	10/31/1997
Responses	822,000	0	822,000
Time Burden (Hours)	1,014,000	0	1,014,000
Cost Burden (Dollars)	25,350,000	0	0

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Abstract: Section 104(a)(1)(A) of ERISA requires plan administrators to file an annual report containing the information described in section 103 of ERISA. The form 5500 series provides a standard format for fulfilling that requirement.

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Annual Report	5500-SCH.A;B;C, 5500-C, 5500-R-FOR-PLAN, YEAR-1995

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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	822,000	822,000	0	0	0	0
Annual Time Burden (Hours)	1,014,000	1,014,000	0	0	0	0
Annual Cost Burden (Dollars)	25,350,000	0	0	25,350,000	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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 02/01/1996

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