Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax

ICR 200404-1545-044

OMB: 1545-0213

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1545-0213 200404-1545-044
Historical Active 200104-1545-026
TREAS/IRS
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
Extension without change of a currently approved collection   No
Regular
Approved without change 06/02/2004
Retrieve Notice of Action (NOA) 04/28/2004
  Inventory as of this Action Requested Previously Approved
06/30/2007 06/30/2007 06/30/2004
1,000 0 1,000
3,730 0 5,150
0 0 0

Form 5578 is used by private schools that do not file Schedule A (Form 990) to certify that they have a racially nondiscriminatory policy toward students as outlined in Rev. Proc 75-50. The Internal Revenue Service uses the information to help ensure that the school is maintaining a nondiscriminatory policy in keeping with its exempt status.

None
None


No

1
IC Title Form No. Form Name
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax 5578

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 3,730 5,150 0 -1,420 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.
04/28/2004


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