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Banks and insurance companies may establish prototype simplified employee pensions (SEP) or savings incentive match plans (SIMPLE).  In order to ensure that these prototypes meet the requirements under
 IRC section 408(k) or (p), these entities may request an approval letter from IRS.
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The data is used by IRS to verify that these simplified employee pensions (SEP) or savings incentive match plans (SIMPLE) meet the requirements of the Code so that IRS may issue an approval letter.
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We have no plans at this time to offer electronic filing because of the low volume compared to the  cost of electronic enabling.
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\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 CONSEQUENCES OF LESS FREQUENT COLLECTION ON FEDERAL PROGRAMS OR POLICY ACTIVITIES}{
\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 7.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 SPECIAL CIRCUMSTANCES REQUIRING DATA COLLECTION TO BE}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099      }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 INCONSISTENT WITH GUIDELINES IN 5 CFR 1320.5(d)(2)}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\insrsid9464099 \sect }\sectd \ltrsect\sbknone\linex0\headery1440\footery1440\endnhere\sectdefaultcl\sftnbj {\headerr \ltrpar \pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\posxc\nowrap\faauto\rin0\lin0\itap0 
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\fs24\insrsid9464099  PAGE  }}{\fldrslt {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\lang1024\langfe1024\noproof\insrsid1184658 3}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \fs24\insrsid9464099 
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 8.
\tab}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 
\ltrch\fcs0 \b\f37\ul\insrsid9464099 CONSULTATION WITH INDIVIDUALS OUTSIDE OF THE AGENCY ON}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099      }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 AVAILABILITY OF D
ATA, FREQUENCY OF COLLECTION, CLARITY OF INSTRUCTIONS AND FORMS, AND DATA ELEMENTS}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
Periodic meetings are held between IRS personnel and representatives of the American Bar Association, the National Society of Public Accountants, the American Institute of 
Certified Public Accountants, and other professional groups to discuss tax law and tax forms. During these meetings, there is an opportunity for those attending to make comments regarding Form 5306-A.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 In response to the Federal Register notice (7}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid8852568 5}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099  FR }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid1184658 38177}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 ), dated }{
\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid8852568 Ju}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid1184658 ly}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid8852568  }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid1184658 1}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 ,}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid8852568  2010}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
 we received no comments during the comment period regarding Form 5306-A.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 9.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 EXPLANATION OF DECISION TO PROVIDE ANY PAYMENT OR GIFT TO}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099      }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 RESPONDENTS}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 10.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 ASSURANCE OF CONFIDENTIALITY OF RESPONSES}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Generally, tax r
eturns and tax return information are confidential as required by 26 USC 6103.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 11.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 JUSTIFICATION OF SENSITIVE QUESTIONS
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\ul\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 12.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 ESTIMATED BURDEN OF INFORMATION COLLECTION
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099     
\par                                   Number of       Time per        Total
\par                                   }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\ul\insrsid9464099 Responses}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099         }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\ul\insrsid9464099 Response}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099         }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\ul\insrsid9464099 Hours}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Form 5306-A      5,000              18.88             94,400 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
Estimates of the annualized cost to respondents for the hour burdens shown are not available at this time.
\par 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 13.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 ESTIMATED TOTAL ANNUAL COST BURDEN TO RESPONDENTS}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099     
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 As suggested by OMB, our Federal Register notice dated }{\rtlch\fcs1 \ab\af37\afs24 
\ltrch\fcs0 \b\f37\fs24\insrsid8852568 Ju}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid1184658 ly 1}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid8852568 , 2010}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
, requested public c
omments on estimates of cost burden that are not captured in the estimates of burden hours, i.e., estimates of capital or start-up costs and costs of operation, maintenance, and purchase of services to provide information.  However, we did not receive any
 response from taxpayers on this subject.  As a result, estimates of the cost burdens are not available at this time.  
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 14.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 ESTIMATED ANNUALIZED COST TO THE FEDERAL GOVERNMENT}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099     
\par }\pard\plain \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par The primary cost to the government consists of the cost of printing this form.  We estimate that the cost of printing the form is $1,000.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 15.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 REASONS FOR CHANGE IN BURDEN}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 \tab 

\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
There were no changes to the form that resulted in any change to the total burden of the form. \tab 
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par \tab We are making this submission for renewal purposes.
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 16.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 PLANS FOR TABULATION, STATISTICAL ANALYSIS AND PUBLICATION}{\rtlch\fcs1 \ab\af37 
\ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 17.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 REASONS WHY DISPLAYING THE OMB EXPIRATION DATE IS}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 
\b\f37\insrsid9464099      }{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 INAPPROPRIATE}{\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 See attachment.
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f37\insrsid9464099 \hich\af37\dbch\af0\loch\f37 18.\tab}}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\nowidctlpar\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid9464099 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \f5\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\ul\insrsid9464099 EXCEPTIONS TO THE CERTIFICATION STATEMENT ON OMB FORM 83-I}{\rtlch\fcs1 \ab\af37 
\ltrch\fcs0 \b\f37\insrsid9464099 
\par }\pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 
\b\f37\fs24\insrsid9464099 
\par }\pard \ltrpar\ql \li720\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin720\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 Not applicable.
\par }\pard \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\ilvl12\rin0\lin0\itap0\pararsid9464099 {\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099 
\par }{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\ul\insrsid9464099 Note:}{\rtlch\fcs1 \ab\af37\afs24 \ltrch\fcs0 \b\f37\fs24\insrsid9464099   The following paragraph applies to all of the collections of information in this submission:
\par 
\par      An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the collection of information displays
 a valid OMB control number.  Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law.  Generally, tax returns and tax return information are
 confidential, as required by 26 U.S.C. 6103.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9464099 
\par }}