Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FORM-5305A-SEP Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement	Form and Instruction	Modified	Available
F5305A-SEP_brdn_busi.PDF	Supplementary Document	Uploaded 2008-08-18	Available
F5305A-SEP_Sup Stmnt.doc	Supporting Statement A	Uploaded 2008-08-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
17676	Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement	Form and Instruction	Modified	Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement

ICR Details

OMB Control No: 1545-1012	ICR Reference No: 200808-1545-001
Status: Historical Active	Previous ICR Reference No: 200509-1545-018
Agency/Subagency: TREAS/IRS	Agency Tracking No: CB-1012-001
Title: Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/10/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/03/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved	11/30/2008
Responses	100,000	0	100,000
Time Burden (Hours)	972,000	0	972,000
Cost Burden (Dollars)	0	0	0

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Abstract: Form 5305-A-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 employer's 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.

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Authorizing Statute(s): US Code: 26 USC 6103 Name of Law: Confidentiality and disclosure of returns and return information
   US Code: 26 USC 408 Name of Law: Individual retirement accounts
   US Code: 26 USC 404 Name of Law: Deduction for contributions of an employer to an employees' trust or annuity plan and compensation u
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 35210	06/20/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 57407	10/02/2008
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement	FORM-5305A-SEP	Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement

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ICR Summary of Burden

table that charts list of burden

	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	972,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	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:

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Annual Cost to Federal Government: $1,279

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/03/2008

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