Information Collection

Application for Determination of Employee Stock Ownership Plan

IC 17213 under ICR 201108-1545-005 · OMB 1545-0284.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5309 Application for Determination of Employee Stock Ownership Plan	Form
2011 Draft 5309.pdf	Other-2011 Draft
5309 Application of Determination of Employee Stock Ownership Form 5309.pdf	Form
2011 Burden.pdf 2011 Burden	IC Document

IC Title:

Application for Determination of Employee Stock Ownership Plan

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	5309	Application of Determination of Employee Stock Ownership Plan	Form 5309.pdf		No		Fillable Printable
Other-2011 Draft			2011 Draft 5309.pdf		Yes	No	Printable Only

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	26,975	26,975
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden	2011 Burden.pdf	08/03/2011

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