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Federal forms, ICRs, and supporting documents

Information Collection Request

Information Return for Determination of Life Insurance Company Earnings Rate Under Section 809

ICR 200404-1545-022 · OMB 1545-0927 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
17530 Information Return for Determination of Life Insurance Company Earnings Rate Under Section 809 Form Migrated
ICR Details
1545-0927 200404-1545-022
Historical Active 200104-1545-039
TREAS/IRS
Information Return for Determination of Life Insurance Company Earnings Rate Under Section 809
Extension without change of a currently approved collection   No
Regular
Approved without change 05/14/2004
Retrieve Notice of Action (NOA) 04/13/2004
  Inventory as of this Action Requested Previously Approved
05/31/2007 05/31/2007 06/30/2004
300 0 150
19,386 0 9,323
0 0 0
Life Insurance companies are required to provide data so the Secretary of the Treasury can compute the (1) stock earnings rate of the 50 largest stock companies; and (2) average mutual earnings rate. These factors are used to compute the differential earnings rate which will determine the tax liability for mutual life insurance companies.
None
None
No
1
IC Title Form No. Form Name
Information Return for Determination of Life Insurance Company Earnings Rate Under Section 809 8390
  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 300 150 0 11 139 0
Annual Time Burden (Hours) 19,386 9,323 0 741 9,322 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.
04/13/2004