Information Collection

Application for Approval of Standardized or Nonstandardized 403(b) Pre-Approved Plans

IC 252409 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 4461-C Application for Approval of Standardized or Nonstandardized 403(b) Pre-Approved Plans Form and Instruction
4461-C Application for Approval of Standardized or Nonstandardi f4461-c--2022-04-00.pdf Form and Instruction
4461-C Application for Approval of Standardized or Nonstandardi f4461-c--2022-04-00.pdf Form and Instruction
RP 2021-37.pdf Revenue Procedure 2021-37 IC Document
RP 2021-37.pdf Revenue Procedure 2021-37 IC Document
2022-4461-C-Burden-2022-03-28 12-54-36.pdf Form 4461-C Burden Calculation IC Document
2022-4461-C-Burden-2022-03-28 12-54-36.pdf Form 4461-C Burden Calculation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Approval of Standardized or Nonstandardized 403(b) Pre-Approved Plans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 26 CFR 601.201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4461-C	Application for Approval of Standardized or Nonstandardized 403(b) Pre-Approved Plans	f4461-c--2022-04-00.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: 150	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	1,995	1,995
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Revenue Procedure 2021-37	RP 2021-37.pdf	03/28/2022
Form 4461-C Burden Calculation	2022-4461-C-Burden-2022-03-28 12-54-36.pdf	03/28/2022

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