Information Collection

Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment

IC 206369 under ICR 201607-1545-019 · OMB 1545-0951.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0951 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5434-A Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment	Form and Instruction
5434-A Joint Board for the Enrollment of Actuaries Application 5434-A.pdf	Form and Instruction

IC Title:

Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 901

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	5434-A			www.pay.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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