Information Collection

Coverdell ESA Contribution Information

IC 19432 under ICR 200906-1545-027 · OMB 1545-1815.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1815 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 5498-ESA Coverdell ESA Contribution Information	Form
Instructions.pdf	Instruction
Form 5498-ESA Coverdell ESA Contribution Information Form 5498-ESA.pdf	Form

IC Title:

Coverdell ESA Contribution Information

Agency IC Tracking Number:

db-1815-027

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 5498-ESA	Coverdell ESA Contribution Information	Form 5498-ESA.pdf		Yes	Yes	Fillable Fileable
Instruction			Instructions.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	18,000	18,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.