Information Collection

Certification of Intent to Adopt a Pre-approved Plan

IC 43916 under ICR 201211-1545-031 · OMB 1545-2011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2011 can be found here:

Documents and Forms

Document Name Document Type
Form Form 8905 Certification of Intent to Adopt a Pre-approved Plan Form and Instruction
Form 8905 Certification of Intent To Adopt a Pre-approved Plan Form 8905.pdf Form and Instruction
Burden.PDF 2012 Burden IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certification of Intent to Adopt a Pre-approved Plan	Agency IC Tracking Number:	db-2011-014

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 8905	Certification of Intent To Adopt a Pre-approved Plan	Form 8905.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 145,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,000	0	29,000
Annual IC Time Burden (Hours)	82,360	-28,130	110,490
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
2012 Burden	Burden.PDF	11/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.