Privacy Act Systems - DOL/PWBA-16
Form 5500EZ Filings.
U.S. Department of Labor
Pension and Welfare Benefits Administration
3833 Greenway Drive
Lawrence, KS 66046-1290
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
Individuals who have filed a Form 5500EZ with the Department of Labor for plan years beginning on or after January 1, 1999.
CATEGORIES OF RECORDS IN THE SYSTEM:
Forms 5500EZ filed with the Department of Labor for plan years beginning on or after January 1, 1999.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
26 U.S.C. 6058(a); 29 U.S.C. 1135,1137,1143.
These records satisfy the reporting and disclosure requirements mandated by the Employee Retirement Income Security Act of 1974, as amended, and the Internal Revenue Code.
Note: This system of records is maintained by the Department of Labor for the benefit of the Internal Revenue Service (IRS).
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSE OF SUCH USES:
None, except for those routine uses listed in the General Prefatory Statement to this document.
DISCLOSURE TO CONSUMER REPORTING AGENCIES:
POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, AND DISPOSING OF RECORDS IN THE SYSTEM:
Original paper filings, electronic image files of the filings, and electronic data files extracted from the filing.
Retrieved using personal name, taxpayer identification number, or Social Security number; plan number; and plan year.
Note: Only the IRS can retrieve this data.
Accessible only to authorized personnel. Safeguards include both electronic safeguards, including C2 compliant systems and password-protected files, and physical safeguards, including a restricted-access facility.
RETENTION AND DISPOSAL:
Paper filings are retained by the system manager for 6 months, after which time they are retained off-site for a period of fifty years. Electronic files are retained by the system manager for a period of fifty years. At the end of their respective retention periods, the paper and electronic files are destroyed.
SYSTEM MANAGER(S) AND ADDRESS:
Director, Office of Information Management, Pension and Welfare Benefits Administration, U.S. Department of Labor, 200 Constitution Avenue, NW, Washington, DC 20210.
Individuals wishing to inquire whether this system of records contains information about them should contact the system manager indicated above. Individuals must furnish their full names for their records to be located and identified.
RECORD ACCESS PROCEDURES:
Same as notification procedure. Individuals requesting access must also comply with U. S. Department of Labor Privacy Act regulations on verification of identity at 29 CFR 71.2.
CONTESTING RECORD PROCEDURES:
Same as notification procedure above except individuals desiring to contest or amend information maintained in the system should direct their written request to the System Manager listed above, and state clearly and concisely what information is being contested, the reasons for contesting it, and the proposed amendment to the information sought pursuant to 29 CFR 71.9.
RECORD SOURCE CATEGORIES:
Individuals filing Form 5500EZ filings.
SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS OF THE ACT: