INFORMATION AND INITIAL EXCISE TAX RETURN FOR BLACK LUNG BENEFIT TRUSTS AND CERTAIN RELATED PERSONS -- FORM 990-BL, COMPUTATION OF INITIAL EXCISE TAXES.... -- SCHEDULE A, FORM 990-BL
ICR 199310-1545-010
OMB: 1545-0049
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-0049 can be found here:
INFORMATION AND INITIAL
EXCISE TAX RETURN FOR BLACK LUNG BENEFIT TRUSTS AND CERTAIN RELATED
PERSONS -- FORM 990-BL, COMPUTATION OF INITIAL EXCISE TAXES.... --
SCHEDULE A, FORM 990-BL
Extension without change of a currently approved collection
IRS USES FORM 990-BL TO MONITOR
ACTIVITIES OF BLACK LUNG BENEFIT TRUST AND TO COLLECT EXCISE TAXES
ON THESE TRUSTS AND CERTAIN RELATED PERSON IF THEY ENGAGE IN
PROSCRIBED ACTIVITIES. THE TAX IS FIGURED ON SCHEDU A AND ATTACHED
TO THE 990-BL. FORM 6069 IS USED BY COAL MINE OPERATOR TO FIGURE
THE MAXIMUM DEDUCTION TO A BLACK LUNG TRUST. IF EXCESS
CONTRIBUTIONS ARE MADE, IRS USES THE FORM TO FIGURE AND COLLECT THE
TA
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.