Information Collection

Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)

IC 17109 under ICR 201309-1545-045 · OMB 1545-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0199 can be found here:

Documents and Forms

Document Name Document Type
Form 5306-A Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) Form and Instruction
5306-A Application for Approval of Prototype Simplified Employe Form_5306-A_AUG2013.pdf Form and Instruction
2013 brdn_busi.pdf 2013 Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)	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 and Instruction	5306-A	Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)	Form_5306-A_AUG2013.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	96,850	2,450	94,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2013 Burden	2013 brdn_busi.pdf	09/18/2013

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