OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons; Form 6069, Return of Excise Tax on Excess Contributions to BL Trust

ICR 201109-1545-019 · OMB 1545-0049 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 6069 Form 6069, Return of Excise Tax on Excess Contributions to Black Lung....... Form and Instruction Modified Repair queued
Form 990-BL Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons Form Modified Available
Supp._Stmnt_F990BL_&Sch_A,_F6069_REV.doc Supporting Statement A Uploaded 2011-10-12 Available
ombat2.doc Supplementary Document Uploaded 2008-05-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
184974 Form 6069, Return of Excise Tax on Excess Contributions to Black Lung....... Form and Instruction Modified
16806 Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons Form Modified
ICR Details
1545-0049 201109-1545-019
Historical Active 200805-1545-008
TREAS/IRS jg-0049-019
Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons; Form 6069, Return of Excise Tax on Excess Contributions to BL Trust
Extension without change of a currently approved collection   No
Regular
Approved without change 12/19/2011
Retrieve Notice of Action (NOA) 10/27/2011
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved 12/31/2011
27 0 27
563 0 563
0 0 0
IRS uses Form 990-BL to monitor activities of black lung benefit trusts, and to collect excise taxes on these trusts and certain related persons if they engage in proscribed activities. The tax is figured on Schedule A and attached to Form 990-BL. Form 6069 is used by coal mine operators to figure the maximum deduction to a black lung benefit trust. If excess contributions are made, IRS uses the form to figure and collect the tax on excess contributions.
US Code: 26 USC 6033 Name of Law: Returns by exempt organizations
   US Code: 26 USC 521(c)(21) Name of Law: A trust or trusts established in writing, created or organized in the United States, and contributed
  
None
Not associated with rulemaking
  76 FR 21946 04/19/2011
76 FR 66355 10/26/2011
No
  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 27 27 0 0 0 0
Annual Time Burden (Hours) 563 563 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,580
No
No
No
No
No
Uncollected
Tuawana Pinkston 202 622-3994
  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.
10/27/2011