OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution; Form 5305-SIMPLE Savings Incentive Match Plan for

ICR 200606-1545-019 · 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
43878 Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution; Form 5305-SIMPLE Savings Incentive Match Plan for Form Migrated
ICR Details
1545-1502 200606-1545-019
Historical Active 200307-1545-008
TREAS/IRS
Form 5304-SIMPLE Savings Incentive Match Plan for Employees of Small Employers (SIMPLE)-Not for Use With a Designated Financial Institution; Form 5305-SIMPLE Savings Incentive Match Plan for
Revision of a currently approved collection   No
Regular
Approved without change 10/30/2006
Retrieve Notice of Action (NOA) 06/13/2006
In its next submission of this information collection, the agency should indicate if the burden estimate is based on the Individual Taxpayer Burden Model. The agency is also instructed to provide the Line of Business and Subfunction under the Federal Enterprise Architecture Business Reference Module.
  Inventory as of this Action Requested Previously Approved
10/31/2009 36 Months From Approved 10/31/2006
600,000 0 600,000
2,113,000 0 2,127,000
0 0 0
Forms 5304-SIMPLE and 5035-SIMPLE are 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). These forms are 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. Notice 98-4 provides guidance for employers and trustees regarding how they can comply with the requirements of Code section 408(p) in establishing and maintaining a SIMPLE Plan
None
None
No
  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 600,000 600,000 0 0 0 0
Annual Time Burden (Hours) 2,113,000 2,127,000 0 -14,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
$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.
06/13/2006