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Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing
Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing
OMB: 1545-1033
IC ID: 17719
OMB.report
TREAS/IRS
OMB 1545-1033
ICR 199807-1545-016
IC 17719
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1033 can be found here:
2001-04-10 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Employee Benefit Plan Declaration and Signature for Electronic/Magnetic Media Filing
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
8453-E
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50,000
0
0
0
0
50,000
Annual IC Time Burden (Hours)
45,500
0
500
0
0
45,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.