Information Collection

Returns For Black Lung Benefits Trusts And Certain Related Persons See Attachment For Titles

IC 128153 under ICR 198210-1545-018 · OMB 1545-0049.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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Information Collection (IC) Details

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IC Title:	RETURNS FOR BLACK LUNG BENEFITS TRUSTS AND CERTAIN RELATED PERSONS SEE ATTACHMENT FOR TITLES	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: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	27	0	27
Annual IC Time Burden (Hours)	104	13	91
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.