Information Collection

Certification of Intent to Adopt a Pre-approved Plan

IC 43916 under ICR 200908-1545-014 · OMB 1545-2011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 8905 Certification of Intent to Adopt a Pre-approved Plan	Form and Instruction
Form 8905 Certification of Intent To Adopt a Pre-approved Plan Form 8905.pdf	Form and Instruction
2009 Burden.PDF 2009 Burden	IC Document

IC Title:

Certification of Intent to Adopt a Pre-approved Plan

Agency IC Tracking Number:

db-2011-014

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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 and Instruction	Form 8905	Certification of Intent To Adopt a Pre-approved Plan	Form 8905.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 145,000

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	29,000	29,000
Annual IC Time Burden (Hours)	110,490	110,490
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2009 Burden	2009 Burden.PDF	08/12/2009

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