Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1210-0110
ICR Reference No:
201406-1210-005
Status:
Historical Inactive
Previous ICR Reference No:
201403-1210-001
Agency/Subagency:
DOL/EBSA
Agency Tracking No:
Title:
Annual Information Return/Report
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
10/07/2014
OIRA Conclusion Action:
Preapproved
Conclusion Date:
10/07/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/08/2014
Terms of Clearance:
Approved without change.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2015
6 Months From Approved
05/31/2016
Responses
791,575
0
786,048
Time Burden (Hours)
557,765
0
555,001
Cost Burden (Dollars)
218,939,600
0
218,939,600
Abstract:
Section 104 and 4065 of ERISA require plan administrators to file an annual report containing the information described in section 103 of ERISA. The Form 5500 provides a standard format for fulfilling that requirement.
Emergency Justfication:
President Obama signed the “Cooperative and Small Employer Charity Pension Flexibility Act (the CSEC Act),” on April 7, 2014. Section 104(c) of the CSEC Act amends section 103 of the Employee Retirement Income Security Act by adding a new subparagraph (g), which requires all multiple employer plans to submit with their Form 5500 Annual Report (1) a list of contributing employers and (2) a good faith estimate of the percentage of total contributions made by such participating employers during the plan year. The Form 5500 Annual Report is a collection of information subject to the Paperwork Reduction Act (OMB Control #1210-0110), which currently is scheduled to expire on May 31, 2016. The Department received clearance from OMB for the 2014 Form 5500 on March 27, 2014 (ICR Reference Number 201403-1210-001). The Department seeks approval of revisions to Form 5500 to reflect the changes enacted in CSEC Act. The multiple employer reporting requirements under the CSEC Act apply to plan years beginning after December 31, 2013, thus creating an immediate need for changes to the Form 5500. Without these changes, filers would have no uniform way to comply with the new requirements under the CSEC Act. The use of normal Paperwork Reduction Act clearance procedures would likely disrupt or prevent the statutorily mandated collection of information in time for plan year 2014 filings. Therefore, in accordance with 5 CFR 1320.13, the Department is hereby requesting emergency clearance from OMB to issue the revised Form 5500 and Form 5500-SF within thirty (30) days after the Department submits the revised information collection request for the Form 5500 to OMB.
Authorizing Statute(s):
US Code:
29 USC 1023
Name of Law: Employee Retirement Income Security Act of 1974
Citations for New Statutory Requirements:
PL: Pub.L. 109 - 280 1103(b) Name of Law: Pension Protection Act of 2006
PL: Pub.L. 113 - 97 104(c) Name of Law: The Cooperative and Small Employer Charity Pension Flexibility Act
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1210-AB66
Final or interim final rulemaking
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Annual Information Return/Report
Form 5500 Schedule MB, Form 5500 Schedule SB, Form 5500 Schedule D, Form 5500 Schedule G, Form 5500 Schedule H, Form 5500-SF, Form 5500 Schedule R, Form 5500, Form 5500 Schedule A, Form 5500 Schedule C, Form 5500 Schedule I
CSEC Multiple Employer Plan Revision
5500-SF, 5500
Multiple Employer Welfare Arrangements Revisions of Form 5500
Form 5500
ICR Summary of Burden
Total Request
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
791,575
786,048
552
4,975
0
0
Annual Time Burden (Hours)
557,765
555,001
2,763
1
0
0
Annual Cost Burden (Dollars)
218,939,600
218,939,600
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The Department is revising the ICR to reflect the hour burden associated with the CSEC Act amendments.
Annual Cost to Federal Government:
$6,900,000
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Chris Cosby 202 693-8540
Common Form ICR:
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:
(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:
09/08/2014
An official website of the United States government
The .gov means it's official.
The site is secure.
