Information Collection

Computation Of Social Security Tax On Unreported Tip Income

IC 128236 under ICR 198107-1545-041 · OMB 1545-0059.

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Information Collection (IC) Details

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IC Title:	COMPUTATION OF SOCIAL SECURITY TAX ON UNREPORTED TIP INCOME	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4137				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 73,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	73,000	18,000	55,000
Annual IC Time Burden (Hours)	55,000	14,000	41,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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