Information Collection

Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement

IC 17676 under ICR 201111-1545-011 · OMB 1545-1012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5305A-SEP Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement	Form and Instruction
5305A-SEP Salary Reduction Simplified Employee Pension Individual 2011 Form 5305A-SEP (2006).pdf	Form and Instruction
2011 Burden Form 5305A-SEP.PDF 2011 Burden Form 5305A-SEP	IC Document

IC Title:

Salary Reduction Simplified Employee Pension-Individual Retirement Accounts Contribution Agreement

Agency IC Tracking Number:

jg-1012-011

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 and Instruction	5305A-SEP	Salary Reduction Simplified Employee Pension Individual Retirement Accounts Contribution Agreement	2011 Form 5305A-SEP (2006).pdf		Yes	No	Fillable Printable

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	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	972,000	972,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2011 Burden Form 5305A-SEP	2011 Burden Form 5305A-SEP.PDF	11/09/2011

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