Salary Reduction Simplified Employee Pensions-Individual Retirement Accounts Contribution Agreement

ICR 200204-1545-034

OMB: 1545-1012

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-1012 200204-1545-034
Historical Active 199908-1545-008
TREAS/IRS
Salary Reduction Simplified Employee Pensions-Individual Retirement Accounts Contribution Agreement
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/08/2002
Retrieve Notice of Action (NOA) 04/08/2002
  Inventory as of this Action Requested Previously Approved
10/31/2002 10/31/2002 10/31/2002
100,000 0 100,000
972,000 0 1,046,000
0 0 0

Form 5305A-SEP is used by an employer to make an agreement to provide benefits to all employees under a salary reduction Simplified Employee Pension (SEP) described in section 408(k). This form is not to be filed with IRS but is to be retained in the employers' records as proof of establishing such a plan, thereby justifying a deduction for contributions made to the SEP. The data is used to verify the deduction.

None
None


No

1
IC Title Form No. Form Name
Salary Reduction Simplified Employee Pensions-Individual Retirement Accounts Contribution Agreement 5305A-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) 972,000 1,046,000 0 -74,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
04/08/2002


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