Short Form Return of Organization Exempt From Income Tax under Section 501(c) of the IRC (Except Black Lung Benefit Trust or Foundation or Section 4947 (a)(1) Charitable Trust)
ICR 199508-1545-048
OMB: 1545-1150
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-1150 can be found here:
Short Form Return of
Organization Exempt From Income Tax under Section 501(c) of the IRC
(Except Black Lung Benefit Trust or Foundation or Section 4947
(a)(1) Charitable Trust)
Extended through
November 1996 to provide additional time for the Department to
submit this request under the 1995 PRA. You may omit printing the
expiration date on this form. Also, you may continue to use prior
versions of this form.
Inventory as of this Action
Requested
Previously Approved
11/30/1996
11/30/1996
07/31/1996
100,000
0
0
4,342,000
0
4,258,000
0
0
0
Form 990-EZ is needed to determine
that IRC section 501(a) tax-exempt organizations fulfill the
operating conditions of their tax exemption. IRS uses the
information from this form to determine if the filers are operating
within the rules of their exemption.
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.