Form 5300, Application for Determination for Employee Benefit Plan, Schedule Q (Form 5300), Elective Determination Requests

Form 5300, Application for Determination for Employee Benefit Plan

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0197 can be found here:

Documents and Forms

Document Name Document Type
Form 5300 Form 5300, Application for Determination for Employee Benefit Plan, Schedule Q (Form 5300), Elective Determination Requests Form
2013 Form 5300 inst.pdf Instruction
5300 Application for Determination for Employee Benefit Plan 2013 Form 5300.pdf Form
2013 burden.PDF 2013 burden caculation IC Document

Information Collection (IC) Details

IC Title:	Form 5300, Application for Determination for Employee Benefit Plan, Schedule Q (Form 5300), Elective Determination Requests	Agency IC Tracking Number:	GJS

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	5300	Application for Determination for Employee Benefit Plan	2013 Form 5300.pdf		Yes	Yes	Fillable Fileable
Instruction			2013 Form 5300 inst.pdf		Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85,000	0	85,000
Annual IC Time Burden (Hours)	7,201,200	1,795,200	5,406,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2013 burden caculation	2013 burden.PDF	12/26/2013

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