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Agenda
Reg Review
ICR
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
Instruction
2021 Form 5500 Instructions Clean (003).docx
Yes
Yes
Fillable Fileable
Instruction
2021 Form 5500SF Instructions Clean.docx
Yes
Yes
Fillable Fileable
Form
Form 5500
2021 Form 5500
201209 Form 5500 Clean.docx
Yes
Yes
Fillable Fileable Signable
Form
Form 5500-SF
2021 Form 5500-SF
201209 Form 5500-SF Clean.docx
Yes
Yes
Fillable Fileable Signable
Form
Schedule A
2021 Schedule A
201209 Sch A Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule C
2021 Schedule C
201209 Sch C Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule D
2021 Schedule D
201209 Sch D Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule G
2021 Schedule G
201209 Sch G Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule H
2021 Schedule H
201209 Sch H Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule I
2021 Schedule I
201209 Sch I Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule MB
2021 Schedule MB
201209 Sch MB Clean.docx
Yes
Yes
Fillable Fileable Signable
Form
Schedule R
2021 Schedule R
201209 Sch R Clean.docx
Yes
Yes
Fillable Fileable
Form
Schedule SB
2021 Schedule SB
201209 Sch SB Clean.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
Schedule DCG
Proposed Schedule DCG (Individual Plan Information) and Instructions
Appendix B (Proposed Schedule DCG (Individual Plan Information) and Instructions).docx
Yes
Yes
Fillable Fileable
Form and Instruction
Schedule MEP
Proposed Schedule MEP (Multiple-Employer Retirement Plan Information) and Instructions
Appendix A (Proposed Schedule MEP (Multiple-Employer Retirement Plan Information) and Instructions).docx
Yes
Yes
Fillable Fileable
Other-Proposed Changes To Participating Employer Information under ERISA 103(G) to 2021 Form 5500/Form 5500-SF Instructions
Appendix C.docx
Yes
Yes
Fillable Fileable
Other-Other Proposed Changes to 2022 Form 5500, Form 5500-SF, Form 5500-EZ, Schedules and InstructionsNS
Appendix E.docx
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:
24,600
Number of Respondents for Small Entity:
17,300
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
24,600
0
0
0
0
24,600
Annual IC Time Burden (Hours)
1,242
0
9
0
0
1,233
Annual IC Cost Burden (Dollars)
1,647,087
0
0
0
0
1,647,087
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.