STATEMENT FOR RECIPIENTS OF INTEREST INCOME

ICR 198104-1545-103

OMB: 1545-0103

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
128531 Migrated
ICR Details
1545-0103 198104-1545-103
Historical Active
TREAS/IRS
STATEMENT FOR RECIPIENTS OF INTEREST INCOME
Revision of a currently approved collection   No
Regular
Approved without change 04/01/1981
Retrieve Notice of Action (NOA) 04/01/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
769,000 0 0
150,000 0 0
0 0 0

THIS FORM IS REQUIRED UNDER IRC SECTION 6049 TO REPORT INTEREST RECEIVED AS A NOMINEE ON BEHALF OF ANOTHER PERSON. IT TELLS THE IRS WHO IS RESPONSIBLE FOR REPORTING THE INCOME.

None
None


No

1
IC Title Form No. Form Name
STATEMENT FOR RECIPIENTS OF INTEREST INCOME 1087-INT

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 769,000 0 0 0 769,000 0
Annual Time Burden (Hours) 150,000 0 0 0 150,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/01/1981


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