This form is filed by employers or
plan administrators who have adopted a prototype plan approved by
the IRS National Office or a regional prototype plan approved by
the IRS District Director to obtain a ruling that the plan adopted
is qualified under IRC sections 401(a) and 501(a). It may not be
used to request a letter for a multiple employer plan.
US Code:
26
USC 401(a) Name of Law: Requirements for qualification
US Code: 26
USC 501(a) Name of Law: Exemption from taxation
Burden was adjusted to correct
a previously inconsistent calculation.
$167,212
No
No
No
No
No
Uncollected
Esther Woodworth 202
622-3090
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.