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

U.S. Life Insurance Company Income Tax Return

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
2009 M-3 inst..pdf Instruction
Schedule M-3 (Form Net Income (Loss) Reconciliation for Life Insurance Comp 2010 M-3 draft.pdf Form
2010 M-3 burden.PDF Burden Computation for Sch M-3 (Form 1120-L) IC Document

Information Collection (IC) Details

IC Title:	Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More	Agency IC Tracking Number:	ah-0128-028

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	Schedule M-3 (Form 1120-L)	Net Income (Loss) Reconciliation for Life Insurance Companies with Total Assets of $10 Million or More	2010 M-3 draft.pdf		Yes	Yes	Fillable Fileable
Instruction			2009 M-3 inst..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: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	182,660	182,660
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden Computation for Sch M-3 (Form 1120-L)	2010 M-3 burden.PDF	11/17/2010

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