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Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
OMB: 1545-0213
IC ID: 17137
OMB.report
TREAS/IRS
OMB 1545-0213
ICR 201008-1545-029
IC 17137
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0213 can be found here:
2016-08-31 - Extension without change of a currently approved collection
2013-07-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5578
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
Form and Instruction
5578 Annual Certification of Racial Nondiscrimination for a P
FORM 5578 2009.pdf
Form and Instruction
Form 5578 Burden 2010.PDF
Form 5578 Burden 2010
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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 and Instruction
5578
Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax
FORM 5578 2009.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
3,730
0
0
0
0
3,730
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Form 5578 Burden 2010
Form 5578 Burden 2010.PDF
08/12/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.