SHORT FORM APPLICATION FOR DETERMINATION FOR AMENDMENT OF EMPLOYER BENEFIT PLAN

ICR 198704-1545-020

OMB: 1545-0229

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
1545-0229 198704-1545-020
Historical Active 198407-1545-031
TREAS/IRS
SHORT FORM APPLICATION FOR DETERMINATION FOR AMENDMENT OF EMPLOYER BENEFIT PLAN
Revision of a currently approved collection   No
Regular
Approved without change 06/12/1987
Retrieve Notice of Action (NOA) 04/28/1987
  Inventory as of this Action Requested Previously Approved
06/30/1990 06/30/1990 07/31/1987
70,000 0 70,000
101,160 0 87,965
0 0 0

THIS FORM IS USED BY CERTAIN EMPLOYEE PLANS WHO WANT A DETERMINATION LETTER ON AN AMENDMENT TO THE PLAN. THE INFORMATION WILL BE USED TO DECIDE WHETHER THE PLAN IS QUALIFIED UNDER CODE SECTION 401(A).

None
None


No

1
IC Title Form No. Form Name
SHORT FORM APPLICATION FOR DETERMINATION FOR AMENDMENT OF EMPLOYER BENEFIT PLAN 6406

  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 70,000 70,000 0 0 0 0
Annual Time Burden (Hours) 101,160 87,965 0 13,195 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.
04/28/1987


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