Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution

Form 5304-SIMPLE; Form 5305-SIMPLE; Notice 98-4

Documents and Forms

Document Name Document Type
Form 5304 SIMPLE Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution Form
5304 SIMPLE Savings Incentive Match Plan for Employees of Small Empl 2012 5304SIMPLE.pdf Form
5304 SIMPLE Savings Incentive Match Plan for Employees of Small Empl 2012 5304SIMPLE.pdf Form
2016-5304-SIMPLE brdn_busi.PDF Burden -Form 5304-SIMPLE IC Document
2016-5304-SIMPLE brdn_busi.PDF Burden -Form 5304-SIMPLE IC Document

Information Collection (IC) Details

IC Title:	Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	5304 SIMPLE	Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)Not for Use With a Designated Financial Institution	2012 5304SIMPLE.pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	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	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	640,000	640,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden -Form 5304-SIMPLE	2016-5304-SIMPLE brdn_busi.PDF	01/07/2016

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