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 198904-1545-082

OMB: 1545-0169

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0169 198904-1545-082
Historical Active 198904-1545-048
TREAS/IRS
APPLICATION FOR APPROVAL OF MASTER OR PROTOTYPE DEFINED BENEFIT PLAN, MASTER OR PROTOTYPE DEFINED CONTRIBUTION PLAN, & MASTER OR PROTOTYPE PLAN MASS SUBMITTER ADOPTING SPONSOR
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/20/1989
Approved with change 04/20/1989
Retrieve Notice of Action (NOA) 04/20/1989
  Inventory as of this Action Requested Previously Approved
12/31/1991 12/31/1991 12/31/1991
6,400 0 6,400
120,374 0 125,828
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 APPLICATION ALSO IS USED TO DETERMINE IF THE RELATED TRUST QUALIFIES FOR TAX EXEMPT STATUS UNDER CODE SECTION 501(A).

None
None


No

  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 6,400 6,400 0 0 0 0
Annual Time Burden (Hours) 120,374 125,828 0 -5,454 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
04/20/1989


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