Form 5578 - Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax

ICR 201608-1545-005 · OMB 1545-0213 · Historical Active

Forms and Documents

Document	Type	Status	Availability
Form 5578 Form 5578 - Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax	Form and Instruction	Modified	Available
Sup Stat. Form 5578.doc	Supporting Statement A	Uploaded 2016-08-04	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
17137	Form 5578 - Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax	Form and Instruction	Modified

ICR Details

OMB Control No: 1545-0213	ICR Reference No: 201608-1545-005
Status: Historical Active	Previous ICR Reference No: 201304-1545-038
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Form 5578 - Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/06/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/31/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	1,000	0	1,000
Time Burden (Hours)	3,730	0	3,730
Cost Burden (Dollars)	0	0	0

Abstract: Form 5578 is used by private schools that do not file (Form 990) to certify that they have a racially nondiscriminatory policy toward students as outlined in Rev. Proc 75-50. The Internal Revenue Service uses the information to help ensure that the school is maintaining a nondiscriminatory policy in keeping with its exempt status.

Authorizing Statute(s): US Code: 26 USC 501(c)(3) Name of Law: Exemption from tax on corporations, certain trusts, etc.
US Code: 26 USC 6103 Name of Law: Confidentiality and disclosure of returns and return information

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 35819	06/03/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60124	08/31/2016
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Form 5578 - Annual Certification of Racial Nondiscrimination for a Private School Exempt From Federal Income Tax	5578	Annual Certification of Racial Nondiscrimination for a Private School Exempt from Federal Income Tax

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	1,000	1,000
Annual Time Burden (Hours)	3,730	3,730
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $8,389

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Philip Millet 202 317-5883

Common Form ICR: No