APPLICATION FOR EXEMPTION FROM SELF-EMPLOYMENT TAX FOR USE BY MINISTERS, MEMBERS OF RELIGIOUS ORDERS, AND CHRISTIAN SCIENCE PRACTITIONERS

ICR 199312-1545-010

OMB: 1545-0168

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0168 199312-1545-010
Historical Active 199105-1545-012
TREAS/IRS
APPLICATION FOR EXEMPTION FROM SELF-EMPLOYMENT TAX FOR USE BY MINISTERS, MEMBERS OF RELIGIOUS ORDERS, AND CHRISTIAN SCIENCE PRACTITIONERS
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/1994
Retrieve Notice of Action (NOA) 12/20/1993
  Inventory as of this Action Requested Previously Approved
02/28/1997 02/28/1997 06/30/1994
10,270 0 10,270
10,065 0 10,065
0 0 0

FORM 4361 IS USED BY MINISTERS, MEMBERS OF RELIGIOUS ORDERS, OR CHRISTIAN SCIENCE PRACTITIONERS TO FILE FOR AN EXEMPTION FROM SELF-EMPLOYMENT TAX ON CERTAIN EARNINGS AND TO CERTIFY THAT THEY HAVE INFORMED THE CHURCH OR ORDER THAT THEY ARE OPPOSED TO THE ACCEPTANCE OF CERTAIN PUBLIC INSURANCE BENEFITS.

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 10,270 10,270 0 0 0 0
Annual Time Burden (Hours) 10,065 10,065 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.
12/20/1993


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