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Federal forms, ICRs, and supporting documents

Information Collection Request

Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing

ICR 199505-1545-023 · OMB 1545-1033 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
131383 Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing Form Migrated
ICR Details
1545-1033 199505-1545-023
Historical Active 199408-1545-028
TREAS/IRS
Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing
Extension without change of a currently approved collection   No
Regular
Approved without change 08/07/1995
Retrieve Notice of Action (NOA) 05/19/1995
You may omit printing the expiration date on this form. Also, you may continue to use prior versions of this fornm.
  Inventory as of this Action Requested Previously Approved
08/31/1998 08/31/1998 09/30/1995
50,000 0 0
45,000 0 43,000
0 0 0
This form will be used to secure taxpayer signatures and declarations in conjunction with the electronic filing of forms 5500, 5500-C/R, and 5500EZ. These forms, together with the electronic transmission, will comprise the annual information returns.
None
None
No
1
IC Title Form No. Form Name
Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing 8453-E
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50,000 0 0 50,000 0 0
Annual Time Burden (Hours) 45,000 43,000 0 2,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/19/1995