Information Collection

Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax

IC 17137 under ICR 201304-1545-038 · OMB 1545-0213.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0213 can be found here:

Documents and Forms

Documents and forms in this information collection
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 2013 5578 Draft.pdf	Form and Instruction
5578 Annual Certification of Racial Nondiscrimination for a P Form_5578_APR2009.pdf	Form and Instruction
2013 burden.PDF 2013 burden Computation	IC Document

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:

table that charts list of 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	2013 5578 Draft.pdf		Yes	No	Fillable Printable
Form and Instruction	5578	Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax	Form_5578_APR2009.pdf		Yes	No	Fillable Printable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	3,730	3,730
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2013 burden Computation	2013 burden.PDF	04/30/2013

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