Information Collection

Application for Extension of Time to File Certain Employee Plan Returns

IC 17134 under ICR 201303-1545-002 · OMB 1545-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 5558 Application for Extension of Time to File Certain Employee Plan Returns	Form and Instruction
Form 5558 Application for Extension of Time to File Certain Employ 2012 Form.pdf	Form and Instruction
2012burden.doc Burden Methodology for Form 5558	IC Document

IC Title:

Application for Extension of Time to File Certain Employee Plan Returns

Agency IC Tracking Number:

db-0212-008

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Form 5558	Application for Extension of Time to File Certain Employee Plan Returns	2012 Form.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 590,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	590,000	255,000	335,000
Annual IC Time Burden (Hours)	231,693	100,138	131,555
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden Methodology for Form 5558	2012burden.doc	03/11/2013

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