Application for Determination for Collectively Bargained Plan

ICR 200402-1545-051

OMB: 1545-0534

Federal Form Document

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Name
Status
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ICR Details
1545-0534 200402-1545-051
Historical Active 200104-1545-019
TREAS/IRS
Application for Determination for Collectively Bargained Plan
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/20/2004
Retrieve Notice of Action (NOA) 02/20/2004
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004 06/30/2004
2,500 0 2,500
88,200 0 88,200
0 0 0

IRS uses Form 5303 to get information needed about the finances and operation of employee benefit plans set up by employers under a collective bargaining agreement. The information obtained on Form 5303 is used to make a determination on whether the plan meets the requirements to qualify under section 401(a) and whether the related trust qualifies for exemption under section 501(a) of the Code.

None
None


No

1
IC Title Form No. Form Name
Application for Determination for Collectively Bargained Plan FORM-5303

  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 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 88,200 88,200 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.
02/20/2004


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