Short Form Application for Determination for Minor Amendment of

ICR 200112-1545-020

OMB: 1545-0229

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
1545-0229 200112-1545-020
Historical Active 200108-1545-031
TREAS/IRS
Short Form Application for Determination for Minor Amendment of
Extension without change of a currently approved collection   No
Regular
Approved without change 02/19/2002
Retrieve Notice of Action (NOA) 12/18/2001
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
02/28/2005 02/28/2005 02/28/2002
25,000 0 25,000
538,250 0 543,250
0 0 0

This form is used by certain employee plans who want a determination letter or an amendment to the plan. The information gathered will be used to decide whether the plan is qualified under section 401(a).

None
None


No

1
IC Title Form No. Form Name
Short Form Application for Determination for Minor Amendment of 6406

  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 25,000 25,000 0 0 0 0
Annual Time Burden (Hours) 538,250 543,250 0 -5,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
12/18/2001


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