Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution

Form 5304-SIMPLE; Form 5305-SIMPLE; Notice 98-4

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1502 can be found here:

Documents and Forms

Document Name Document Type
Form 5305 SIMPLE Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution Form and Instruction
5305 SIMPLE Savings Incentive Match Plan for Employees of Small Empl Form 5305-SIMPLE.pdf Form and Instruction
Form 5305-SIMPLE_09brdn.PDF 2009 Burden IC Document

Information Collection (IC) Details

IC Title:	Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5305 SIMPLE	Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution	Form 5305-SIMPLE.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	1,398,000	1,398,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2009 Burden	Form 5305-SIMPLE_09brdn.PDF	09/30/2009

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