Information Collection

Information And Initial Excise Tax Returnfor Black Lung Benefit Trusts & Certain Related Persons / Return Of Excise Tax On Excess Contrib. To Black Lung Benefit Trust, Sec.4953

IC 128154 under ICR 198308-1545-040 · OMB 1545-0049.

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Information Collection (IC) Details

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IC Title:	INFORMATION AND INITIAL EXCISE TAX RETURNFOR BLACK LUNG BENEFIT TRUSTS & CERTAIN RELATED PERSONS / RETURN OF EXCISE TAX ON EXCESS CONTRIB. TO BLACK LUNG BENEFIT TRUST, SEC.4953	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	990-BL				No	No
Form	6069				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	104	104
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.