Information Collection

Annual Return of One-Participant (Owners and Their Spouses) Retirement Plan

IC 39892 under ICR 200910-1545-028 · OMB 1545-0956.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0956 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5500-EZ Annual Return of One-Participant (Owners and Their Spouses) Retirement Plan	Form
I5500EZ.pdf	Instruction
5500-EZ Annual Return of One-Participant (Owners and Their Spous 09f5500EZ-df5500ez-1009mkup.pdf	Form
09 burden.PDF Burden Computation Sheet	IC Document

IC Title:

Annual Return of One-Participant (Owners and Their Spouses) Retirement Plan

Agency IC Tracking Number:

ah-0956-028

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 6103

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	5500-EZ	Annual Return of One-Participant (Owners and Their Spouses) Retirement Plan	09f5500EZ-df5500ez-1009mkup.pdf		Yes	Yes	Fillable Fileable
Instruction			I5500EZ.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	250,000	0	250,000
Annual IC Time Burden (Hours)	7,005,000	235,000	6,770,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Computation Sheet	09 burden.PDF	04/15/2010

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