View Information Collection (IC)

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	Form 5500	Annual Return/Report of Employee Benefit Plan	Form_5500_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Form 5500-SF	Short Form Annual Return/Report of Small Employee Benefit Plan	Form_5500-SF_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule A (Form 5500)	Schedule A (Form 5500) - Insurance Information	SchA_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule C (Form 5500)	Schedule C (Form 5500) - Service Provider Information	SchC_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule D (Form 5500)	Schedule D (Form 5500) - DFE/Participating Plan Information	SchD_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule G (Form 5500)	Schedule G (Form 5500) - Financial Transaction Schedules	SchG_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule H (Form 5500)	Schedule H (Form 5500) - Financial Information	SchH_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule I (Form 5500)	Schedule I (Form 5500) - Financial Information - Small Plan	SchI_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule MB (Form 5500)	Schedule MB (Form 5500) - Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information	SchMB_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule R (Form 5500)	Schedule R (Form 5500) - Retirement Plan Information	SchR_mockup.pdf		Yes	Yes	Fillable Fileable
Form	Schedule SB (Form 5500)	Schedule SB (Form 5500) - Single-Employer Defined Benefit Plan Actuarial Information	SchSB_mockup.pdf		Yes	Yes	Fillable Fileable
Instruction			2011 Form 5500 Instructions - Mock Up.pdf		Yes	Yes	Fillable Fileable
Instruction			2011 Form 5500-SF Instructions - Mock Up.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	0	0	30,300
Annual IC Time Burden (Hours)	1,200	0	0	0	0	1,200
Annual IC Cost Burden (Dollars)	1,210,000	0	-40,000	0	0	1,250,000

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.