Information Collection

Application for Determination of Employee Stock Ownership Plan

IC 17213 under ICR 202103-1545-017 · OMB 1545-0284.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0284 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5309 Application for Determination of Employee Stock Ownership Plan	Form
5309 Application for Determination of Employee Stock Ownershi Form 5309.pdf	Form
5309 Application for Determination of Employee Stock Ownershi Form 5309.pdf	Form

IC Title:

Application for Determination of Employee Stock Ownership Plan

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 54.4975-11

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	5309	Application for Determination of Employee Stock Ownership Plan	Form 5309.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: IRS 50.222âTax Exempt/Government Entities (TE/GE) Case Management Records

FR Citation: 80 FR 54063

Number of Respondents: 2,500

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	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	26,975	26,975
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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