Form 5304-SIMPLE; Form 5305-SIMPLE; Notice 98-4

ICR 201212-1545-006

OMB: 1545-1502

Federal Form Document

ICR Details
1545-1502 201212-1545-006
Historical Active 200909-1545-039
TREAS/IRS
Form 5304-SIMPLE; Form 5305-SIMPLE; Notice 98-4
Extension without change of a currently approved collection   No
Regular
Approved without change 01/28/2013
Retrieve Notice of Action (NOA) 12/28/2012
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved 01/31/2013
600,000 0 600,000
2,113,000 0 2,113,000
0 0 0

Forms 5304-SIMPLE and 5035-SIMPLE are used by an employer to permit employees to make salary reduction contributions to a savings incentive match plan (SIMPLE IRA) described in Code section 408(p). These forms are not to be filed with IRS, but to be retained in the employers' records as proof of establishing such a plan, thereby justifying a deduction for contributions made to the SIMPLE IRA. The data is used to verify the deduction. Notice 98-4 provides guidance for employers and trustees regarding how they can comply with the requirements of Code section 408(p) in establishing and maintaining a SIMPLE Plan

US Code: 26 USC 408 Name of Law: Individual Retirement Accounts
  
None

Not associated with rulemaking

  77 FR 63925 10/17/2012
77 FR 76604 12/28/2012
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600,000 600,000 0 0 0 0
Annual Time Burden (Hours) 2,113,000 2,113,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$46,534
No
Yes
No
No
No
Uncollected
Trene Cheek 202 283-2225

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/28/2012


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