THIS REQUEST FOR
CLEARANCE IS APPROVED FOR USE THROUGH 11/30/83. PLEASE CONSIDER 1)
INCLUDING A BOX ON THE FORM TO INDICATE THE PLAN IS TO BE ADMENDED
AND REQUESTING FORM 6406 2) INCLUDING A SECTION FOR REQUESTING AN
EXTENSION TO FILE BECAUSE OF THE ADMENDMENT.
Inventory as of this Action
Requested
Previously Approved
11/30/1983
11/30/1983
12/31/1982
7,016
0
7,016
9,659
0
9,822
0
0
0
FORM 5500-G IS AN AANUAL INFORMATION
RETURN FILED BY GOVERNMENTAL AND CHURCH DEFERRED COMPENSATION
PLANS. THE IRS USES THIS DATA TO DETERMINE IF THE PLAN APPEARS TO
BE OPERATING PROPERLY AS REQUIRED UND THE LAW OR WHETHER THE PLAN
SHOULD BE AUDITED.
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.