Summary of changes

IRS Office of Management and Budget (OMB) Review Request
Request for OMB review of currently approved document
Name of requester
Vikki Vrooman

Date
5/13/2013

Phone number
927-9868

Office symbols
SE:W:CAR:MP:T:B:T

Impact on Approved Collection
Public Law
Number

Regulation
Number

Other

Changes in IRS Form & Instructions
Code
References

PL 109-567

REG-345675-08

RP 2009-134

+/- 5

Number of Filers
+/- 20,000

Words
+/- 500

Attachments
+/- 1

Insert how this new (public law, regulation, or other), document will affect the currently approved collection.

Summary of changes
Form 990-BL, Information and initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons Under Section 501(c)(21) of
the Internal Revenue Code.
We updated the calendar year.
On page 1, we made the following changes:
In the header area and below the title, we deleted ">See separate instructions." and inserted ">Information about Form 990-BL and its instructions is
available at www.irs.gov/form990bl." (Discretionary change by TFP)
In the address box, we deleted "City, or town, state, and ZIP code" and inserted "City or town, state or province, country, ZIP or foreign postal code"
to reduce undeliverable mail to taxpayers with foreign addressess. (2012 Executive Summary)

Additional Information

Form 14418 (8-2012)

Catalog Number 59917W

publish.no.irs.gov

Department of the Treasury - Internal Revenue Service