Information Collection

Info. & Initial Excise Tax Return For Black Lung Benefit Trusts & Certain Related Persons / Return Of Excist Tax On Excess Contribution To Black Lung Benefit Trust (sec. 4953)

IC 130635 under ICR 198308-1545-025 · OMB unassigned.

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IC Title:

INFO. & INITIAL EXCISE TAX RETURN FOR BLACK LUNG BENEFIT TRUSTS & CERTAIN RELATED PERSONS / RETURN OF EXCIST TAX ON EXCESS CONTRIBUTION TO BLACK LUNG BENEFIT TRUST (SEC. 4953)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	990-BL				No	No
Form	6069				No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 0

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	0	0	0	0	0	0
Annual IC Time Burden (Hours)	0	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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