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Federal forms, ICRs, and supporting documents

Information Collection Request

Savings Incentive Match Plan for Employees of Small Employers

ICR 199701-1545-019 · OMB 1545-1502 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
40827 Savings Incentive Match Plan for Employees of Small Employers Form Migrated
ICR Details
1545-1502 199701-1545-019
Historical Active 199612-1545-020
TREAS/IRS
Savings Incentive Match Plan for Employees of Small Employers
No material or nonsubstantive change to a currently approved collection   No
Emergency 01/22/1997
Approved without change 01/22/1997
Retrieve Notice of Action (NOA) 01/22/1997
  Inventory as of this Action Requested Previously Approved
06/30/1997 06/30/1997 06/30/1997
100,000 0 100,000
2,127,000 0 2,127,000
0 0 0
This form is used by an employer to permit employees to make salary reduction contributions to a savings incentive match plan (SIMPLE IRA) described in Code section 408(p). This form is not to be filed with IRS but to be retained in the employers' records as proof of establishing such a plan, thereby justifying a deduction for contributions made to the SIMPLE IRA. The data is used to verify the deduction.
None
None
No
1
IC Title Form No. Form Name
Savings Incentive Match Plan for Employees of Small Employers 5304-SIMPLE
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 2,127,000 2,127,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/22/1997