Information Collection

Information And Initial Excise Tax Return For Black Benefit Trusts And Certain Related Persons (under Section 501(c)(21) Of The Internal Revenue Code)

IC 128152 under ICR 198108-1545-112 · OMB 1545-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0049 can be found here:

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Information Collection (IC) Details

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IC Title:	INFORMATION AND INITIAL EXCISE TAX RETURN FOR BLACK BENEFIT TRUSTS AND CERTAIN RELATED PERSONS (UNDER SECTION 501(C)(21) OF THE INTERNAL REVENUE CODE)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SCHEDULE A	No	No
Form	FORM 990-BL,	No	No
Form	FORM 990-BL	No	No
Form	& 6069	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27	-473	500
Annual IC Time Burden (Hours)	91	-409	500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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