Information Collection

Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment

IC 206369 under ICR 202305-1545-012 · OMB 1545-0951.

Documents and Forms

Document Name Document Type
Form 5434-A Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment Form and Instruction
5434-A Joint Board for the Enrollment of Actuaries Application Form 5434-A (Rev. 1-2023).pdf www.pay.gov Form and Instruction
5434-A Joint Board for the Enrollment of Actuaries Application Form 5434-A (Rev. 1-2023).pdf www.pay.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 5434-A - Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 901

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5434-A	Joint Board for the Enrollment of Actuaries Application for Renewal of Enrollment	Form 5434-A (Rev. 1-2023).pdf	www.pay.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: IRS 24.030-CADE Individual Master File and IRS 34.037 IRS Audit Trail and Security Records System	FR Citation: 83 FR 42980

Number of Respondents: 1,166	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,166	-500	1,666
Annual IC Time Burden (Hours)	583	-250	833
Annual IC Cost Burden (Dollars)	291,500	291,500	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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