Enlarge image | OMB No. 1545-1772 User Fee for Employee Plan Determination For Form 8717 Letter Request IRS (Rev. June 2022) Use Amount paid Department of the Treasury Attach to determination letter application. Only Internal Revenue Service Go to www.irs.gov/Form8717 for the latest information. 1 Name of plan sponsor (employer if single-employer plan) 2 Sponsor’s employer identification number 3 Plan number 4 Plan name Caution: If you qualify for the exemption from user fees for small business employers, complete only the certification below. See the instructions on page 2 for details. For all other applications, leave the certification blank and check the appropriate box and enter the user fee in column B of line 5. Certification I certify that the application for a determination letter on the qualified status of the plan listed above meets the conditions for exemption from user fees described in section 7528(b)(2)(B) of the Internal Revenue Code. Sign Here Date Type or print name and title User Fee A B Form Submitted ✴❅❘▼ 5a Form 5300: $ ✴❅❘▼ b Form 5307: $ ✴❅❘▼ c Form 5310: $ d ✴❅❘▼ e Multiple employer plans (Form 5300 ) . . . . . . . . . . . . . $ f Multiple employer plans (Form 5310 ) . . . . . . . . . . . . . ✴❅❘▼ $ g Reserved ✴❅❘▼ (1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (2a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (2b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ ( )4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ h Reserved ✴❅❘▼ (1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (1b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ ( )2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ Attach Check or Money Order Here ( )3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (4a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ (4b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ ( )5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ ( )6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✴❅❘▼ i Form 5316: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Cat. No. 64727O Form 8717 (Rev. 6-2022) |
Enlarge image | Form 8717 (Rev. 6-2022) Page 2 Section references are to the Internal Revenue Where To File (Include Form 8717 and user fee with your request or Code unless otherwise noted. application.) Future Developments THEN use this address if you send it by: For the latest information about developments IF you have this type of related to Form 8717 and its instructions, request or application... U.S. mail Express Mail or private delivery service such as legislation enacted after they were published, go to www.irs.gov/Form8717 . Determination letter Internal Revenue Service Internal Revenue Service (Form 5307, 5300, 5310, 5310-A, Attn: EP Determination Attn: EP Determination What’s New or 5316) Letters, Stop 31A Team 105 Letters, Stop 31A Team 105 Specific user fee amounts are no longer listed P.O. Box 12192 7940 Kentucky Drive on Form 8717. You must now enter the Covington, KY 41012-0192 Florence, KY 41042 appropriate user fee when completing line 5. Notice 2011-86 was obsoleted. See Notice 2017-1, 2017-2 I.R.B. 367. See Notice 2002-1, 2002-1 C.B. 283 as If you have multiple plans, submit a amplified by Notice 2017-1, 2017-2 I.R.B. separate determination letter application and Note: www.pay.gov is required to be used 367. Form 8717 for each plan. when submitting the user fee with Form 5310 applications. Starting July 1, 2022, Pay.gov An eligible employer as defined in section will be required for Form 5300 submissions 408(p)(2)(C)(i)(l) is an employer which had no Paperwork Reduction Act Notice. We ask and applicable user fees. more than 100 employees who received at for the information on this form to carry out least $5,000 of compensation from the the Internal Revenue laws of the United General Instructions employer for the preceding year. In addition, States. If you want to have your plan an eligible employer must have at least one approved by the IRS, you are required to give Purpose of Form employee who is not a highly compensated us the information. We need it to determine employee (as defined in section 414(q)) and is whether you meet the legal requirements for Generally, a user fee is required with each participating in the plan. plan approval. Section 7528 authorizes us to application for a determination letter. Use charge a user fee. Form 8717 to submit the appropriate user fee. The determination of whether an employer is an eligible employer is made as of the date You aren’t required to provide the Note: Don’t use any part of the form that is of the request described above. If your information requested on a form subject to shaded in gray. Those portions of the form are application meets these requirements for an the Paperwork Reduction Act unless the form no longer functional. exemption, complete only the Certification. displays a valid OMB control number. Books Don’t complete any part of line 5. or records relating to a form or its instructions Specific Instructions must be retained as long as their contents Payment of User Fee may become material in the administration of Exemption From User Fee If you don’t meet the conditions for exemption any Internal Revenue law. Generally, tax The exemption from the user fee applies to all discussed earlier, a user fee is due. returns and return information are eligible employers (defined later) who request For Form 5310, please submit the confidential, as required by section 6103. a determination letter within the first 5 plan application and user fee at the same time The time needed to complete and file this years or, if later, by the end of any remedial through Pay.gov. form will vary depending on individual amendment period with respect to the plan circumstances. The estimated average time is: that begins within the first 5 plan years Starting July 1, 2022, Form 5300 and any (“qualifying open remedial amendment applicable user fee is required to be Recordkeeping . . . . 1 hr., 40 min. period”). The IRS will treat an application for a submitted through Pay.gov. Learning about the law or the form 24 min. determination letter as being filed within a Do not use Form 8717 for Form 5300 or Preparing, copying, assembling . 26 min. qualifying open remedial amendment period if Form 5310 unless an additional payment for the plan was first in existence no earlier than an insufficient user fee is needed. If you have comments about the accuracy of these time estimates or suggestions for January 1 of the 10th calendar year preceding Line 5. User fee. To determine the making this form simpler, we would be happy the year in which the application is filed (the appropriate user fee to enter on line 5, go to to hear from you. You can send us comments “10-year rule”). www.irs.gov/Retirement-Plans/User-Fees- from www.irs.gov/FormsPubs . Click on “More Example. If a determination letter For-Employee-Plans-Determination-Opinion- Information” and then on “Give us feedback.” application for a plan that was first in And-Advisory-Letters . The schedule for user existence during 2007 is filed on fees is also set forth in Appendix A of Rev. Or you can write to: December 1, 2017, then the IRS will treat the Proc. 2022-4, 2022-1 I.R.B. 161 (updated Internal Revenue Service application as having been filed within a annually), available at www.irs.gov/ Tax Forms and Publications qualifying open remedial amendment period. irb/2022-01 , or the latest annual update. 1111 Constitution Ave. NW, IR-6526 If an application does not satisfy the 10- Check the appropriate box and enter the Washington, DC 20224 year rule requirements, but the application user fee in column B of line 5. Attach to the Don’t send this form to this address. satisfies the user fee exemption requirements left side of the form a check or money order Instead, see Where To File , earlier. under section 7528(b)(2)(B) (for example, in a payable to “United States Treasury” for the case in which a qualifying open remedial full amount of the user fee to Form 8717, if amendment period ends more than 10 years applicable. If payment was made through after the year in which the plan is first in www.pay.gov , a copy of the payment existence), then no user fee is required. The confirmation must also be submitted. If you applicant should complete only the don't include the full amount, your application Certification and explain in a cover letter how may be returned. Attach Form 8717 to your the application satisfies the user fee determination letter application. exemption requirements under section 7528(b)(2)(B). |