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
Instruction			2021 Form 5500SF Instructions Clean.docx		Yes	No	Printable Only
Form	5500	Annual Return/Report of Employee Benefit Plan	201209 Form 5500 Clean.docx		Yes	Yes	Fillable Fileable
Form	5500 SF	Short Form Annual Return/Report of Small Employee Benefit Plan	201209 Form 5500-SF Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch A (Form 5500)	Insurance Information	201209 Sch A Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch C (Form 5500)	Service Provider Information	201209 Sch C Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch D (Form 5500)	DFE/Participating Plan Information	201209 Sch D Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch G (Form 5500)	Financial Transaction Schedules	201209 Sch G Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch H (Form 5500)	Financial Information	201209 Sch H Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch I (Form 5500)	Financial Information Small Plan	201209 Sch I Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch MB (Form 5500)	Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information	201209 Sch MB Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch R (Form 5500)	Retirement Plan Information	201209 Sch R Clean.docx		Yes	Yes	Fillable Fileable
Form	Sch SB (Form 5500)	Single-Employer Defined Benefit Plan Actuarial Information	201209 Sch SB Clean.docx		Yes	Yes	Fillable Fileable
Instruction			2021 Form 5500 Instructions Clean.docx		Yes	No	Printable Only

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: 835,497	Number of Respondents for Small Entity: 679,497

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

Percentage of Respondents Reporting Electronically: 99 %

	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	835,497	0	0	8,497	0	827,000
Annual IC Time Burden (Hours)	343,000	0	0	4,870	0	338,130
Annual IC Cost Burden (Dollars)	143,059,000	0	0	2,495,513	0	140,563,487

Documents for IC

Title	Document	Date Uploaded
Burden Estimate	2020 Burden Estimate.docx	09/20/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.