Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1502 can be found here:

Documents and Forms

Document Name Document Type
Form 5305-SIMPLE Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution Form
5305-SIMPLE Savings Incentive Match Plan for Employees of Small Empl 2012 5305SIMPLE.pdf Form
2012 5305SIMPLE burden.PDF 2012Burden IC Document

Information Collection (IC) Details

IC Title:	Form 5305-SIMPLE - Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-for Use With a Designated Financial Institution	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5305-SIMPLE	Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) - for Use With a Designated Financial Institution	2012 5305SIMPLE.pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,000	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	Previously Approved
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	1,398,000	1,398,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2012Burden	2012 5305SIMPLE burden.PDF	12/11/2012

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