Form 5434, Application for Enrollment

Regulations Governing the Performance of Actuarial Services under the Employee Retirement Income Security Act of 1974 (20 CFR 901)

OMB: 1545-0951

IC ID: 39888

Information Collection (IC) Details

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Form 5434, Application for Enrollment
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 901

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form 5434 Joint Board for the Enrollment of Actuaries Application for Enrollment Form 5434 (Rev. 10-2021).pdf www.pay.gov Yes Yes Fillable Fileable

General Government Taxation Management

IRS 24.030-CADE Individual Master File and IRS 34.037 IRS Audit Trail and Security Records System  83 FR 42980

150 0
   
Individuals or Households
 
   75 %

  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 150 0 0 -250 0 400
Annual IC Time Burden (Hours) 150 0 0 -250 0 400
Annual IC Cost Burden (Dollars) 37,500 0 0 37,500 0 0

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