Information Collection

Form 990-BL-- Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons

IC 16806 under ICR 201805-1545-013 · OMB 1545-0049.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 990-BL Form 990-BL-- Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons	Form
i990-bl--2017-09-00.pdf	Instruction
990-BL Information and Initial Excise Tax Return forBlack Lung Form 990BL (2014).pdf	Form
2018-990BL-Burden-2018-05-23 10-30-26.pdf 2018 Burden Form 990-BL	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 53.6071-1 26 CFR 53.6011 26 CFR 1.6033-2(a)(2)(i) 26 CFR 53.6071-1(d)

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	990-BL	Information and Initial Excise Tax Return forBlack Lung Benefit Trusts and Certain Related Persons	Form 990BL (2014).pdf		Yes	No	Fillable Printable
Instruction			i990-bl--2017-09-00.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Tax Exempt Government Entity Case Management Records

FR Citation: 80 FR 54064

Number of Respondents: 22

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	754	754
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2018 Burden Form 990-BL	2018-990BL-Burden-2018-05-23 10-30-26.pdf	05/23/2018

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