Form 990-BL, Information and Initial Excise Tax Return for Black Lung Benefit Trusts and Certain Related Persons, and Form 6069, Return of Excise Tax on Excess Contributions to Black Lung.......
ICR 200507-1545-030
OMB: 1545-0049
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-0049 can be found here:
Form 990-BL, Information and
Initial Excise Tax Return for Black Lung Benefit Trusts and Certain
Related Persons, and Form 6069, Return of Excise Tax on Excess
Contributions to Black Lung.......
Extension without change of a currently approved collection
IRS uses Form 990-BL to monitor
activities of black lung benefit trusts, and to collect excise
taxes on these trusts and certain related presons 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.
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.