Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons

Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons; Form 6069, Return of Excise Tax on Excess Contributions to BL Trust

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0049 can be found here:

Documents and Forms

Document Name Document Type
Form 990-BL Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons Form
Instruction Form 990-BL.pdf Instruction
990-BL Information and Initial Excise Tax Return forBlack Lung Form 990-BL.pdf Form
2011 Burden Form 990-BL.PDF 2011 Burden Form 990-BL IC Document
2011 Burden Form 990-BL Sch. A.pdf 2011 Form 990-BL Schedule A IC Document

Information Collection (IC) Details

IC Title:	Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	Agency IC Tracking Number:	jg-0049-019

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	990-BL	Information and Initial Excise Tax Return forBlack Lung Benefit Trusts and Certain Related Persons	Form 990-BL.pdf		Yes	No	Fillable Printable
Instruction			Instruction Form 990-BL.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26	26
Annual IC Time Burden (Hours)	553	553
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2011 Burden Form 990-BL	2011 Burden Form 990-BL.PDF	09/21/2011
2011 Form 990-BL Schedule A	2011 Burden Form 990-BL Sch. A.pdf	09/21/2011

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