Information Collection

Form 5300 (Schedule Q)

IC 196429 under ICR 201102-1545-019 · OMB 1545-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0197 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Schedul Q (Form 53 Form 5300 (Schedule Q)	Form
Instructions Sch. Q (Draft 2010).pdf	Instruction
Schedul Q (Form 53 Elective Determination Requests Schedule Q (Form 5300).pdf	Form
2010 Burden Schedule Q.PDF 2010 Burden Schedule Q (Form 5300)	IC Document

IC Title:

Form 5300 (Schedule Q)

Agency IC Tracking Number:

jg-0197-019

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	Schedul Q (Form 5300)	Elective Determination Requests	Schedule Q (Form 5300).pdf		Yes	Yes	Fillable Printable
Instruction			Instructions Sch. Q (Draft 2010).pdf		Yes	No	Printable Only

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	4,232,000	4,232,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2010 Burden Schedule Q (Form 5300)	2010 Burden Schedule Q.PDF	03/01/2011

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