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Annual Information Return/Report
Annual Information Return/Report
OMB: 1212-0057
IC ID: 13607
OMB.report
PBGC
OMB 1212-0057
ICR 200705-1212-001
IC 13607
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1212-0057 can be found here:
2024-04-03 - No material or nonsubstantive change to a currently approved collection
2023-02-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5500
Annual Information Return/Report
Form
5500 Annual Return/Report of Employee Benefit Plan
Form_5500_and_Schedules.pdf
Form
5500-SF Short Form Annual Return/Report of Small Employee Benefi
Form_5500_SF_70424.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:
29 CFR 4065
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5500
Annual Return/Report of Employee Benefit Plan
Form_5500_and_Schedules.pdf
Yes
Yes
Fillable Fileable
Form
5500-SF
Short Form Annual Return/Report of Small Employee Benefit Plan
Form_5500_SF_70424.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30,300
Number of Respondents for Small Entity:
18,300
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
1 %
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
30,300
0
0
1,400
0
28,900
Annual IC Time Burden (Hours)
1,800
-400
0
-173
0
2,373
Annual IC Cost Burden (Dollars)
1,600,000
-200,000
0
63,000
0
1,737,000
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.