APPLICATION FOR ENROLLMENT, APPLICATION FOR RENEWAL OF ENROLLMENT

ICR 199411-1545-009

OMB: 1545-0951

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1545-0951 199411-1545-009
Historical Active 199202-1545-014
TREAS/IRS
APPLICATION FOR ENROLLMENT, APPLICATION FOR RENEWAL OF ENROLLMENT
Extension without change of a currently approved collection   No
Regular
Approved without change 02/01/1995
Retrieve Notice of Action (NOA) 11/28/1994
The terms of clearance dated 5/12/92 have been met. You may omit printing the expiration date on this form.
  Inventory as of this Action Requested Previously Approved
01/31/1998 01/31/1998 04/30/1995
6,000 0 6,000
3,800 0 3,800
0 0 0

THE INFORMATION RELATES TO THE GRANTING OF ENROLLMENT STATUS TO ACTUARIES ADMITTED (LICENSED) BY THE JOINT BOARD FOR THE ENROLLMENT OF ACTUARIES TO PERFORM ACTUARIAL SERVICES UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ENROLLMENT, APPLICATION FOR RENEWAL OF ENROLLMENT FORM 5434, FORM 5434A

  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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 3,800 3,800 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.
11/28/1994


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