Application for Approval of Prototype or Employer Sponsored Individual Retirement Account

ICR 200909-1545-004

OMB: 1545-0390

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2009-09-01
Supporting Statement A
2009-11-05
ICR Details
1545-0390 200909-1545-004
Historical Active 200609-1545-007
TREAS/IRS EM-1545-0390-004
Application for Approval of Prototype or Employer Sponsored Individual Retirement Account
Extension without change of a currently approved collection   No
Regular
Approved without change 02/04/2010
Retrieve Notice of Action (NOA) 12/11/2009
  Inventory as of this Action Requested Previously Approved
02/28/2013 36 Months From Approved 02/28/2010
600 0 600
7,878 0 7,878
0 0 0

This application is used by employers who want to establish an individual retirement account trust to be used by their employees. The application is also used by persons who want to establish approved prototype individual retirement accounts or annuities. The data collected is used to determine if plans may be approved.

None
None

Not associated with rulemaking

  74 FR 31087 06/29/2009
74 FR 64125 12/07/2009
No

  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 600 600 0 0 0 0
Annual Time Burden (Hours) 7,878 7,878 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$383
No
No
Uncollected
Uncollected
No
Uncollected
Trene Cheek 202 283-2225

  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.
12/11/2009


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