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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 6069 Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust Under Section 4953 and Computation of Section 192 Deduction	Form and Instruction	Modified	Available
Form 990-BL Information and Initial Excise Tax Return forBlack Lung Benefit Trusts and Certain Related Persons	Form	Modified	Available
Form 990BL-Supporting Statement.doc	Supporting Statement A	Uploaded 2014-12-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
184974	Form 6069--Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust	Form and Instruction	Modified	Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust Under Section 4953 and Computation of Section 192 Deduction
16806	Form 990-BL-- Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	Form	Modified	Information and Initial Excise Tax Return forBlack Lung Benefit Trusts and Certain Related Persons
16806	Form 990-BL-- Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	Instruction	Modified

ICR Details

OMB Control No: 1545-0049	ICR Reference No: 201411-1545-003
Status: Historical Active	Previous ICR Reference No: 201109-1545-019
Agency/Subagency: TREAS/IRS	Agency Tracking No: Ready
Title: 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
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/24/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/30/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2018	36 Months From Approved	10/31/2015
Responses	23	0	27
Time Burden (Hours)	764	0	563
Cost Burden (Dollars)	0	0	0

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Abstract: IRS uses Form 990-BL to monitor activities of black lung benefit trusts, and to collect excise taxes on these trusts and certain related persons if they engage in proscribed activities. The tax is figured on Schedule A and attached to Form 990-BL. Form 6069 is used by coal mine operators to figure the maximum deduction to a black lung benefit trust. If excess contributions are made, IRS uses the form to figure and collect the tax on excess contributions.

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Authorizing Statute(s): US Code: 26 USC 501(c)(21) Name of Law: A trust or trusts established in writing, created or organized in the United States, and contributed
   US Code: 26 USC 6033 Name of Law: Returns by exempt organizations
   US Code: 26 USC 4951 Name of Law: Taxes on self-dealing
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 56435	09/19/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 78566	12/30/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Form 6069--Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust	6069	Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust Under Section 4953 and Computation of Section 192 Deduction
Form 990-BL-- Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	990-BL	Information and Initial Excise Tax Return forBlack Lung Benefit Trusts and Certain Related Persons

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	23	27	0	0	-4	0
Annual Time Burden (Hours)	764	563	0	0	201	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The total annual number of responses decreased by 4 and the total annual time burden increased by 201 hours due to an adjustment to the burden computation to more accurately reflect the current taxpayer burden.

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Annual Cost to Federal Government: $1,580

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/30/2014

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