Form 5300 (Schedule Q)

Form 5300, Application for Determination for Employee Benefit Plan, Schedule Q (Form 5300), Elective Determination Requests

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.