Information Collection

Application for Determination of Employee Stock Ownership Plan

IC 17213 under ICR 201108-1545-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 5309 Application for Determination of Employee Stock Ownership Plan Form
2011 Draft 5309.pdf Other-2011 Draft
5309 Application of Determination of Employee Stock Ownership Form 5309.pdf Form
2011 Burden.pdf 2011 Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5309	Application of Determination of Employee Stock Ownership Plan	Form 5309.pdf		No		Fillable Printable
Other-2011 Draft			2011 Draft 5309.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

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 %

	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

Title	Document	Date Uploaded
2011 Burden	2011 Burden.pdf	08/03/2011

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