View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Annual Return/Report of Employee Benefit Plan	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Schedule A	Insurance Information	Form 5500 sch A.pdf		Yes	Yes	Fillable Fileable
Form	Schedule B	Actuarial Information	Form 5500 sch B.pdf		Yes	Yes	Fillable Fileable
Form	Schedule C	Service Provider Information	Form 5500 sch C.pdf		Yes	Yes	Fillable Fileable
Form	Schedule D	DFE/Participating Plan Information	Form 5500 sch D.pdf		Yes	Yes	Fillable Fileable
Form	Schedule E	ESOP Annual Information	Form 5500 sch E.pdf		Yes	Yes	Fillable Fileable
Form	Schedule G	Financial Transaction Schedules	Form 5500 sch G.pdf		Yes	Yes	Fillable Fileable
Form	Schedule H	Financial Information	Form 5500 sch H.pdf		Yes	Yes	Fillable Fileable
Form	Schedule I	Financial Information - Small Plan	Form 5500 sch I.pdf		Yes	Yes	Fillable Fileable
Form	Schedule R	Retirement Plan Information	Form 5500 sch R.pdf		Yes	Yes	Fillable Fileable
Form	Schedule SSA	Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits	Form 5500 sch SSA.pdf		Yes	Yes	Fillable Fileable
Form	5500 and schedules	Annual Return/Report of Employee Benefit Plan	Form 5500 and schedules.pdf		Yes	Yes	Fillable Fileable
Instruction			Form 5500 Instr.pdf		Yes	No	Printable Only
Form	5500	Annual Return/Report of Employee Benefit Plan	Form 5500.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,139,244	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	1,139,244	0	0	0	0	1,139,244
Annual IC Time Burden (Hours)	2,173,483	0	-1,524,786	0	0	3,698,269
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.