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OMB Control No: 1210-0110	ICR Reference No: 202601-1210-003
Status: Received in OIRA	Previous ICR Reference No: 202504-1210-002
Agency/Subagency: DOL/EBSA	Agency Tracking No: 1210-0110
Title: Annual Information Return/Report of Employee Benefit Plan
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 02/12/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	952,412	845,028
Time Burden (Hours)	3,228,684	2,872,410
Cost Burden (Dollars)	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Annual Information Return/Report of Employee Benefit Plan	Form 5500 Schedule DCG, Form 5500 Schedule MEP, Form 5500, Form 5500 Schedule A, Form 5500 Schedule R, Form 5500 Schedule G, Form 5500 Schedule H, Form 5500 Schedule D, Form 5500-SF, Form 5500 Schedule C, Form 5500 Schedule I, Form 5500 Schedule MB, Form 5500 Schedule SB	, , , , , , , , , , , ,

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	952,412	845,028	107,384
Annual Time Burden (Hours)	3,228,684	2,872,410	356,274
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $14,200,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: James Butikofer 202 693-8434 Butikofer.James@dol.gov

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