Information Collection

Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons -- Form 990-BL and Return of Excise Tax on Excess Contributions to Black Lung -- Form 6069

IC 16804 under ICR 199907-1545-006 · OMB 1545-0049.

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Information Collection (IC) Details

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IC Title:	Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons -- Form 990-BL and Return of Excise Tax on Excess Contributions to Black Lung -- Form 6069	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FORM990-BL	No	No
Form	SCHD-A	No	No
Form	FORM-6069	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	27	0	27
Annual IC Time Burden (Hours)	573	-131	704
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.