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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

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-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 %

table that charts list of burden
	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

table that charts IC Documents
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.