Section 8. Paperwork Reduction Act

The collection of information contained in this revenue procedure has been reviewed and approved by the Office of Management and Budget in accordance with the Paperwork Reduction Act (44 U.S.C. § 3507) under control number 1545–1704. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the col

subsections 4.04(5), 4.04(6), and 4.04(9), except that the numerical results requested in 4.04(9) should be a numerical illustrative example rather than actual numerical results. .05 If the change in funding method is approved, a “class ruling letter” will be issued to the insurance company, consult

October 16, 2000 374 2000–42 I.R.B.

Appendix A

CHANGE IN FUNDING METHOD REQUEST CHECKLIST

IS YOUR SUBMISSION COMPLETE?

Instructions

The Service will be able to respond more quickly to your change in funding method request if it is carefully prepared and complete. To ensure your request is in order, use this checklist. Answer each question in the checklist by inserting Y for yes, N for no, or N/A for not applicable, as appropriate, in the blank next to the item. Sign and date the checklist (as taxpayer or authorized representa- tive) and place it on top of your request. You must submit a completed copy of this checklist with your request. If a completed checklist is not submitted with your request, substantive consideration of your submission will be deferred until a completed checklist is received. However, this checklist need not be submitted if the request involves a class ruling described in section 5 of this revenue procedure.

1. If you want to designate an authorized representative or a third party contact, have you included a properly executed Form 2848 (Power of Attorney and Declaration of Representative) or Third Party Contact Authorization Form?
2. Have you satisfied all the requirements of Rev. Proc. 2000–4 or its successors (especially concerning signatures and penalties of perjury statement)? (See sections 2.05 & 4.03)
3. Have you included the user fee required under Rev. Proc. 2000–8 or its successors? (See section 2.06)
4. Have you included the employer identification number, the plan name and number, and the name and address of the plan administrator or plan sponsor? (See section 4.04(1))
5. Have you included a copy of the actuarial valuation report for the plan year preceding the year of change, and, if available, a draft of the actuarial valuation report for the year of change? (See section 4.04(2))
6. Have you included a copy of the last Schedule B (Actuarial Information) of Form 5500, including attachments thereto (for requests involving mergers, a copy of the last Schedule B for each of the merging plans)? (See section 4.04(3))
7. Have you included a statement of the plan year first affected by the proposed change? (See section 4.04(4))
8. Have you included a complete description of the current and proposed funding methods, including asset valuation methods? (See section 4.04(5))
9. Have you included a brief statement of the reason for the proposed change and a statement why automatic approval under Rev. Proc. 2000–40 cannot be used to make the change? (See section 4.04(6))
10. Have you included a statement whether a change in funding method was previously requested? (See section 4.04(7))
11. Have you included a statement of other changes being made for the year of change, such as a change in plan year or change in actuarial assumptions? (See section 4.04(8))
12. Have you included a worksheet prepared by the enrolled actuary for the plan, showing a “before and after” list of the amortization bases, the unfunded liability of the plan, and the basic funding formula (or equation of balance) using the proposed method? Have you included the calculation of the full funding limitation for the plan year prior to the plan year of change and for the plan year of change? (See section 4.04(9))
13. Have you included a statement of whether a waiver of the minimum funding standard is currently in effect and whether a request for a waiver is currently pending or is expected to be submitted in the near future? (See section 4.04(10))

Signature Date

Title or Authority

Typed or printed name of person signing checklist

2000–42 I.R.B. 375 October 16, 2000