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Federal forms, ICRs, and supporting documents

Information Collection Request

FORM 5434, Application for Enrollment; and Form 5434-A, Application for Renewal of Enrollment

ICR 200312-1545-001 · 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
17572 FORM 5434, Application for Enrollment; and Form 5434-A, Application for Renewal of Enrollment Form Migrated
ICR Details
1545-0951 200312-1545-001
Historical Active 200011-1545-021
TREAS/IRS
FORM 5434, Application for Enrollment; and Form 5434-A, Application for Renewal of Enrollment
Extension without change of a currently approved collection   No
Regular
Approved without change 12/08/2003
Retrieve Notice of Action (NOA) 12/03/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 01/31/2004
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
FORM 5434, Application for Enrollment; and Form 5434-A, Application for Renewal of Enrollment 5434, 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.
12/03/2003