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

Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons and Form 6069, Return of Excise Tax on Excess Contributions to Black Lung Benefit Trust Under Sectio

Documents and Forms

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

Information Collection (IC) Details

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

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 %

	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

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.