Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment

Regulations Governing the Performance of Actuarial Services under the Employee Retirement Income Security Act of 1974 (20 CFR 901)

Documents and Forms

Document Name Document Type
Form 5434-A Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment Form and Instruction
5434-A Joint Board for the Enrollment of Actuaries Application Form 5434-A (Rev. 1-2023).pdf www.pay.gov Form and Instruction
5434-A Joint Board for the Enrollment of Actuaries Application Form 5434-A (Rev. 1-2023).pdf www.pay.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 901

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5434-A	Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment	Form 5434-A (Rev. 1-2023).pdf	www.pay.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030-CADE Individual Master File and IRS 34.037 IRS Audit Trail and Security Records System	FR Citation: 83 FR 42980

Number of Respondents: 1,166	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,166	-500	1,666
Annual IC Time Burden (Hours)	583	-250	833
Annual IC Cost Burden (Dollars)	291,500	291,500	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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