Information Collection

Application for Approval of Standardized or Nonstandardized Pre-Approved Plans- Mass Submitter Adopting Provider

IC 182938 under ICR 202203-1545-021 · OMB 1545-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0169 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4461-B Application for Approval of Standardized or Nonstandardized Pre-Approved Plans- Mass Submitter Adopting Provider	Form and Instruction
4461-B Application for Approval of Standardized or Nonstandardi f4461-b--2018-11-00.pdf	Form and Instruction
4461-B Application for Approval of Standardized or Nonstandardi f4461-b--2018-11-00.pdf	Form and Instruction
2017 -41 IRB LEXIS 328.pdf Revenue Procedure 2017-41	IC Document
2017 -41 IRB LEXIS 328.pdf Revenue Procedure 2017-41	IC Document
2022-4461B-Burden-2022-03-28 12-56-49.pdf Form 4461-B Burden Calculation	IC Document
2022-4461B-Burden-2022-03-28 12-56-49.pdf Form 4461-B Burden Calculation	IC Document

IC Title:

Application for Approval of Standardized or Nonstandardized Pre-Approved Plans- Mass Submitter Adopting Provider

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 601.201

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	4461-B	Application for Approval of Standardized or Nonstandardized Pre-Approved Plans- Mass Submitter Adopting Provider	f4461-b--2018-11-00.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title: Treasury/IRS 34.037; Treasury/IRS 50.001; Treasury/IRS 50.003; Treasury/IRS 50.222

FR Citation: 80 FR 54063

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,500	-500	3,000
Annual IC Time Burden (Hours)	22,600	-4,520	27,120
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revenue Procedure 2017-41	2017 -41 IRB LEXIS 328.pdf	03/28/2022
Form 4461-B Burden Calculation	2022-4461B-Burden-2022-03-28 12-56-49.pdf	03/28/2022

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