Information Collection

Certification of Intent to Adopt a Pre-approved Plan

IC 43916 under ICR 201602-1545-009 · OMB 1545-2011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 8905 Certification of Intent To Adopt a Pre-approved Plan Certification of Intent to Adopt a Pre-approved Plan	Form and Instruction
Form 8905 Certification of Intent To Adopt a Pre-approved Plan Form 8905.pdf	Form and Instruction
Burden.PDF 2012 Burden	IC Document

IC Title:

Agency IC Tracking Number:

db-2011-014

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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	Form 8905				Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 145,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	29,000	29,000
Annual IC Time Burden (Hours)	82,360	82,360
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2012 Burden		11/26/2012

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

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