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 201703-1545-023 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 5306A 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
Form 5306A Application for Approval of Prototype Simplified Employe f5306a.pdf www.irs.gov/pub/irs-pdf/f5306a.pdf Form and Instruction
brdn_busi2017_5306A.pdf 2017 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	Form 5306A	Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)	f5306a.pdf	https://www.irs.gov/pub/irs-pdf/f5306a.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21	-4,979	5,000
Annual IC Time Burden (Hours)	407	-96,443	96,850
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Burden	brdn_busi2017_5306A.pdf	03/27/2017

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