Information Collection

Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution

IC 43878 under ICR 200909-1545-039 · OMB 1545-1502.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5304-SIMPLE Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution	Form
5304-SIMPLE Savings Incentive Match Plan for Employees of Small Empl Form 5304-SIMPLE.pdf	Form
Form 5304-SIMPLE_09brdn.PDF Burden estimate	IC Document

IC Title:

Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution

Agency IC Tracking Number:

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	5304-SIMPLE	Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution	Form 5304-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: 100,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100,000	-500,000	600,000
Annual IC Time Burden (Hours)	640,000	-1,473,000	2,113,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden estimate	Form 5304-SIMPLE_09brdn.PDF	09/30/2009

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