Information Collection

Annual Income Reporting

IC 147046 under ICR 198302-2900-010 · OMB 2900-0101.

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Information Collection (IC) Details

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IC Title:	ANNUAL INCOME REPORTING	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	21-4179,	No	No
Form	8913, 8914,	No	No
Form	8915, 8916,	No	No
Form	3817, 8918,	No	No
Form	8919, &	No	No
Form	8920	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000,000	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000,000	807,000	1,140,000	53,000
Annual IC Time Burden (Hours)	666,667	269,000	380,000	17,667
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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