APPLICATION FOR EXEMPTION FROM TAX ON SELF-EMPLOYMENT INCOME AND WAIVER OF BENEFITS

ICR 198107-1545-030

OMB: 1545-0064

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-0064 198107-1545-030
Historical Active 198104-1545-064
TREAS/IRS
APPLICATION FOR EXEMPTION FROM TAX ON SELF-EMPLOYMENT INCOME AND WAIVER OF BENEFITS
Revision of a currently approved collection   No
Regular
Approved without change 10/01/1981
Retrieve Notice of Action (NOA) 07/29/1981
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984 12/31/1981
8,216 0 8,000
5,135 0 5,000
0 0 0

USED BY MEMBERS OF QUALIFIED RELIGIOUS GROUPS TO CLAIM EXEMPTION UNDER IRC SECTION 1402(H) FROM TAX ON SELF-EMPLOYMENT INCOME. DATA ARE USED TO APPROVE OR DISAPPROVE APPLICATION FOR EXEMPTION.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR EXEMPTION FROM TAX ON SELF-EMPLOYMENT INCOME AND WAIVER OF BENEFITS 4029

  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 8,216 8,000 0 216 0 0
Annual Time Burden (Hours) 5,135 5,000 0 135 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/29/1981


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