SIMPLIFIED EMPLOYEE PENSION-INDIVIDUAL RETIREMENT ACCOUNTS CONTRIBUTION AGREEMENT

ICR 199311-1545-013

OMB: 1545-0499

Federal Form Document

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ICR Details
1545-0499 199311-1545-013
Historical Active 199102-1545-021
TREAS/IRS
SIMPLIFIED EMPLOYEE PENSION-INDIVIDUAL RETIREMENT ACCOUNTS CONTRIBUTION AGREEMENT
Revision of a currently approved collection   No
Regular
Approved without change 02/14/1994
Retrieve Notice of Action (NOA) 11/29/1993
  Inventory as of this Action Requested Previously Approved
02/28/1997 02/28/1997 04/30/1994
100,000 0 100,000
88,000 0 82,000
0 0 0

RETIREMENT PENSION, EMPLOYEE BENEFIT PLAN, SIMPLIFIED EMPLOYEE PENSIO THIS FORM IS USED BY AN EMPLOYER TO MAKE AN AGREEMENT TO PROVIDE BENEFITS TO ALL EMPLOYEES UNDER A SIMPLIFIED EMPLOYEE PENSION (SEP) DESCRIBED IN SECTION 408(K). THIS FORM IS NOT TO BE FILED WITH IRS BU TO BE RETAINED IN THE EMPLOYER'S RECORDS AS PROOF OF ESTABLISHING SUCH PLAN, THEREBY JUSTIFYING A DEDUCTION FOR CONTRIBUTIONS MADE TO THIS SEP. THE DATA IS USED TO VERIFY THE DEDUCTION.

None
None


No

1
IC Title Form No. Form Name
SIMPLIFIED EMPLOYEE PENSION-INDIVIDUAL RETIREMENT ACCOUNTS CONTRIBUTION AGREEMENT 5305-SEP

  Total Approved 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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 88,000 82,000 0 6,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/29/1993


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