Application for Determination of Employee Stock Ownership Plan

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0284 can be found here:

Documents and Forms

Document Name Document Type
Form 5309 Application for Determination of Employee Stock Ownership Plan Form
5309 Application of Determination of Employee Stock Ownership 09f5309_ap1.pdf Form
Burden to address increase in estimated responses.pdf Burden computation to address increase in response estimates. IC Document
Burden to address changes made to the form.pdf 2010 final burden estimates IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Determination of Employee Stock Ownership Plan	Agency IC Tracking Number:	ah-0284-034

Is this a Common Form? No		IC Status: Modified

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	5309	Application of Determination of Employee Stock Ownership Plan	09f5309_ap1.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,500	0	2,038	462
Annual IC Time Burden (Hours)	26,975	-1,700	23,375	5,300
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Burden computation to address increase in response estimates.	Burden to address increase in estimated responses.pdf	05/07/2010
2010 final burden estimates	Burden to address changes made to the form.pdf	05/07/2010

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