View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1545-2211	ICR Reference No: 202007-1545-015
Status: Historical Active	Previous ICR Reference No: 201706-1545-019
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Request for Miscellaneous Determination
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/28/2021
	Date Received in OIRA: 11/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved	01/31/2021
Responses	2,100	0	2,100
Time Burden (Hours)	28,959	0	28,959
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 26 USC 4940 Name of Law: Excise tax based on investment income.
   US Code: 26 USC 4942 Name of Law: Taxes on failure to distribute income.
   US Code: 26 USC 4945 Name of Law: Taxes on taxable expenditures.
   US Code: 26 USC 6033 Name of Law: Returns by exempt organizations.
   US Code: 26 USC 507 Name of Law: Termination of private foundation status.
   US Code: 26 USC 509(a) Name of Law: General rule.

Citations for New Statutory Requirements: US Code: 26 USC 6033 Name of Law: Returns by exempt organizations.

Annual Cost to Federal Government: $17,770

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Vikki Vrooman 202 317-5884

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