Information Collection

Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More

IC 46036 under ICR 200708-1545-010 · OMB 1545-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0128 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Schedule M-3 (Form Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More	Form
Instr1120LM3.pdf	Instruction
Schedule M-3 (Form Net Income (Loss) Reconciliation for Life Insurance Comp df1120lsm3.pdf	Form

IC Title:

Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More

Agency IC Tracking Number:

ah-0128-010

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Schedule M-3 (Form 1120-L)	Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More	df1120lsm3.pdf		Yes	No	Printable Only
Instruction			Instr1120LM3.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	185,240	185,240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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