Information Collection

Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons

IC 16806 under ICR 200805-1545-008 · OMB 1545-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 990-BL and Schedul Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	Form
990-BL and Schedul Information and Initial Excise Tax Return for Black Lung 990BL.pdf	Form
990-BLbrdn_busi.PDF Form 990-BL Burden Computation	IC Document
Sch A (990BL)brdn_busi.PDF Schedule A (990-BL) Burden Computation	IC Document

IC Title:

Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons

Agency IC Tracking Number:

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	990-BL and Schedule A	Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	990BL.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 22

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	26	-1	27
Annual IC Time Burden (Hours)	553	-10	563
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 990-BL Burden Computation	990-BLbrdn_busi.PDF	05/19/2008
Schedule A (990-BL) Burden Computation	Sch A (990BL)brdn_busi.PDF	05/19/2008

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