Information Collection

Application For Determination For Employee Benefit Plan

IC 129243 under ICR 198901-1545-006 · OMB 1545-0197.

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR DETERMINATION FOR EMPLOYEE BENEFIT PLAN	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5300				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300,000	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	333,000	215,614	33,386	84,000
Annual IC Time Burden (Hours)	9,315,390	7,719,347	1,195,290	400,753
Annual IC Cost Burden (Dollars)	0	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.