Information Collection

Statement For Recipient Of Certain Government Payments

IC 128626 under ICR 198303-1545-015 · OMB 1545-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0120 can be found here:

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Information Collection (IC) Details

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IC Title:	STATEMENT FOR RECIPIENT OF CERTAIN GOVERNMENT PAYMENTS	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	1099-G				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 77,940,774	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	77,940,774	67,121,774	10,819,000
Annual IC Time Burden (Hours)	2,370,538	2,054,538	316,000
Annual IC Cost Burden (Dollars)	0	0	0

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