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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Enrollment -- Form 5434 Application for Renewal of Enrollment -- Form 5434-A

ICR 199712-1545-003 · OMB 1545-0951 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
17570 Application for Enrollment -- Form 5434 Application for Renewal of Enrollment -- Form 5434-A Form Migrated
ICR Details
1545-0951 199712-1545-003
Historical Active 199411-1545-009
TREAS/IRS
Application for Enrollment -- Form 5434 Application for Renewal of Enrollment -- Form 5434-A
Extension without change of a currently approved collection   No
Regular
Approved without change 01/06/1998
Retrieve Notice of Action (NOA) 12/03/1997
The agency is not required to display the expiration date.
  Inventory as of this Action Requested Previously Approved
01/31/2001 01/31/2001 01/31/1998
6,000 0 6,000
3,800 0 3,800
0 0 0
The information relates to the granting of enrollment status to actuaries admitted (licensed) by the Joint Board for the Enrollment of Actuaries to perform actuarial services under the Employee Retirement Income Security Act of 1974.
None
None
No
1
IC Title Form No. Form Name
Application for Enrollment -- Form 5434 Application for Renewal of Enrollment -- Form 5434-A FORM-5434, FORM-5434-A
  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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 3,800 3,800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/03/1997