U.S. INCOME TAX RETURN FOR DESIGNATED SETTLEMENT FUNDS (UNDER SECTION 468B)

ICR 199102-1545-022

OMB: 1545-0986

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
1545-0986 199102-1545-022
Historical Active 198808-1545-016
TREAS/IRS
U.S. INCOME TAX RETURN FOR DESIGNATED SETTLEMENT FUNDS (UNDER SECTION 468B)
Revision of a currently approved collection   No
Regular
Approved without change 05/14/1991
Retrieve Notice of Action (NOA) 02/28/1991
Approved. You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
04/30/1994 04/30/1994 10/31/1991
100 0 100
2,401 0 2,401
0 0 0

FORM 1120-F IS USED BY SETTLEMENT FUNDS TO REPORT INCOME AND TAXES ON THE EARNINGS OF THE FUND. THE FUND IS ESTABLISHED BY COURT ORDER AND IS USED TO PAY CLAIMS BY EMPLOYEES OR FORMER EMPLOYEES FOR DEATH OR INJURIES CAUSED BY ON-THE-JOB CONDITIONS. IRS USES FORM 1120-DF TO DETERMINE IF INCOME AND TAXES ARE CORRECTLY COMPUTED.

None
None


No

1
IC Title Form No. Form Name
U.S. INCOME TAX RETURN FOR DESIGNATED SETTLEMENT FUNDS (UNDER SECTION 468B) 1120-DF

  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 100 100 0 0 0 0
Annual Time Burden (Hours) 2,401 2,401 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/28/1991


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