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Revenue Procedure 2021-30 which includes Forms 14568, 14568-A thru I
Employee Plans Compliance Resolution System (EPCRS)
OMB: 1545-1673
IC ID: 19094
OMB.report
TREAS/IRS
OMB 1545-1673
ICR 202208-1545-005
IC 19094
( )
Documents and Forms
Document Name
Document Type
Form 14568
Revenue Procedure 2021-30 which includes Forms 14568, 14568-A thru I
Form
14568 Appendix C Part I Model VCP Submission Compliance Statem
f14568--2019-11-00.pdf
Form
14568-A Appendix C Part II Schedule 1 Interim and Certain Discre
f14568-a--2019-11-00.pdf
Form
14568-B Appendix C Part II Schedule 2 Nonamender Failures (other
f14568-b--2018-06-00.pdf
Form
14568-C Appendix C Part II Schedule 3 SEPs and SARSEPs
f14568-c--2017-09-00.pdf
Form
14568-D Appendix C Part II Schedule 4 Simple IRAs
f14568-d--2017-09-00.pdf
Form
14568-E Appendix C Part II Schedule 5 Plan Loan Failures (Qualif
f14568-e--2018-06-00.pdf
Form
14568-F Appendix C Part II Schedule 6 Employer Eligibility Failu
f14568-f--2020-03-00.pdf
Form
14568-G Appendix C Part II Schedule 7 Failure to Distribute Elec
f14568-g--2020-03-00 (3).pdf
Form
14568-H Appendix C Part II Schedule 8 Failure to Pay Required Mi
f14568-h--2018-06-00.pdf
Form
14568-I Appendix C Part II Schedule 9 Correction by Plan Amendme
f14568-i--2017-09-00.pdf
Form
Rev Proc-2021-30 .pdf
Rev Proc 2021-30
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Revenue Procedure 2021-30 which includes Forms 14568, 14568-A thru I
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
26 CFR 401(a) (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
14568
Appendix C Part I Model VCP Submission Compliance Statement
f14568--2019-11-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-A
Appendix C Part II Schedule 1 Interim and Certain Discretionary Nonamender Failures
f14568-a--2019-11-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-B
Appendix C Part II Schedule 2 Nonamender Failures (other than those to which Schedule 1 applies) and Failure to Adopt a 403(b) Plan Timely
f14568-b--2018-06-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-C
Appendix C Part II Schedule 3 SEPs and SARSEPs
f14568-c--2017-09-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-D
Appendix C Part II Schedule 4 Simple IRAs
f14568-d--2017-09-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-E
Appendix C Part II Schedule 5 Plan Loan Failures (Qualified Plans and 403(b) Plans)
f14568-e--2018-06-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-F
Appendix C Part II Schedule 6 Employer Eligibility Failure (§ 401(k) and 403(b) Plans only)
f14568-f--2020-03-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-G
Appendix C Part II Schedule 7 Failure to Distribute Elective Deferrals in Excess of the § 402(g) Limit
f14568-g--2020-03-00 (3).pdf
Yes
Yes
Fillable Fileable
Form
14568-H
Appendix C Part II Schedule 8 Failure to Pay Required Minimum Distributions Timely under § 401(a)(9)
f14568-h--2018-06-00.pdf
Yes
Yes
Fillable Fileable
Form
14568-I
Appendix C Part II Schedule 9 Correction by Plan Amendment (in accordance with Appendix B)
f14568-i--2017-09-00.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
IRS 24.046-Customer Account Data Engine Business Master File.
FR Citation:
83 FR 42980
Number of Respondents:
4,300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,300
0
0
0
0
4,300
Annual IC Time Burden (Hours)
86,148
0
0
0
0
86,148
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Rev Proc 2021-30
Rev Proc-2021-30 .pdf
09/29/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.