APPLICATION FOR APPROVAL OF MASTER OR PROTOTYPE DEFINED BENEFIT PLAN, MASTER OR PROTOTYPE DEFINED CONTRIBUTION PLAN, & MASTER OR PROTOTYPE PLAN MASS SUBMITTER ADOPTING SPONSOR
ICR 198810-1545-006
OMB: 1545-0169
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-0169 can be found here:
APPLICATION FOR APPROVAL OF
MASTER OR PROTOTYPE DEFINED BENEFIT PLAN, MASTER OR PROTOTYPE
DEFINED CONTRIBUTION PLAN, & MASTER OR PROTOTYPE PLAN MASS
SUBMITTER ADOPTING SPONSOR
Approved with
the understanding that the Department will submit worksheets
supporting the burden calculation for the new methodology by
February 28, 1989.
Inventory as of this Action
Requested
Previously Approved
12/31/1991
12/31/1991
01/31/1990
6,400
0
2,528
125,828
0
15,808
0
0
0
IRS USES THESE FORMS TO DETERMINE FROM
THE INFORMATION SUBMITTED WHETH THE APPLICANT PLAN QUALIFIES UNDER
SECTION 401(A) OF THE INTERNAL REVENUE CODE FOR PLAN APPROVAL. THE
APLPLICATION ALSO IS USED TO DETERMINE IF THE RELATED TRUST
QUALIFIES FOR TAX EXEMPT STATUS UNDER CODE SECTION 501(A).
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.