Information Collection

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

IC 46036 under ICR 200802-1545-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	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

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.