SPONSORING ORGANIZATIONS WHO WANT IRS
APPROVAL OF MASTER OR PROTOTYPE PENSION PLANS OF THE TYPE LISTED
WOULD SUBMIT THIS FORM. APPROVAL MEANS THE PLAN MEETS THE
REQUIREMENTS OF IRC SECTIONS 401(A) AND 501(A) AS WELL AS
APPLICABLE PROVISIONS OF ERISA (PUBLIC LAW 93-406). THE INFORMATION
REQUESTED IS NECESSARY TO DETERMINE IF THE PLAN SHOULD BE
APPROVED.
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.