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 202011-1545-001 · OMB 1545-0199.

⚠️ Notice: This information collection may be referencing outdated material.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

2024-03-29 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
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 f5306-a--2019-11-00.pdf www.irs.gov/pub/irs-pdf/f5306a.pdf	Form and Instruction
Form 5306A Application for Approval of Prototype Simplified Employe f5306-a--2019-11-00.pdf www.irs.gov/pub/irs-pdf/f5306a.pdf	Form and Instruction
2020-5306A-Burden-2020-09-14 17-07-54.pdf 2020 Burden	IC Document
2020-5306A-Burden-2020-09-14 17-07-54.pdf 2020 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:

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 5306A	Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan)	f5306-a--2019-11-00.pdf	https://www.irs.gov/pub/irs-pdf/f5306a.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 24.030 CADE Business Masterfile BMF

FR Citation: 83 FR 42980

Number of Respondents: 6

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	6	-15	21
Annual IC Time Burden (Hours)	116	-291	407
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2020 Burden	2020-5306A-Burden-2020-09-14 17-07-54.pdf	11/02/2020

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